Provider Demographics
NPI:1689070567
Name:L.KAY MCCROSKEY, MA, LMFT; LLC
Entity Type:Organization
Organization Name:L.KAY MCCROSKEY, MA, LMFT; LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:L. KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:MCCROSKEY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:678-566-1939
Mailing Address - Street 1:546 TENSAS TRCE
Mailing Address - Street 2:
Mailing Address - City:MILTON
Mailing Address - State:GA
Mailing Address - Zip Code:30004-5832
Mailing Address - Country:US
Mailing Address - Phone:678-566-1939
Mailing Address - Fax:
Practice Address - Street 1:11755 POINTE PL
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-4656
Practice Address - Country:US
Practice Address - Phone:678-566-1939
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-05
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT000903106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty