Provider Demographics
NPI:1760798169
Name:MCKEE, CINDY (LPC)
Entity Type:Individual
Prefix:
First Name:CINDY
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:CINDY
Other - Middle Name:
Other - Last Name:MCKEE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 608
Mailing Address - Street 2:
Mailing Address - City:GRAYSON
Mailing Address - State:GA
Mailing Address - Zip Code:30017-0011
Mailing Address - Country:US
Mailing Address - Phone:470-330-7944
Mailing Address - Fax:
Practice Address - Street 1:1585 OLD NORCROSS RD
Practice Address - Street 2:SUITE 203
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-4055
Practice Address - Country:US
Practice Address - Phone:470-330-7944
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-23
Last Update Date:2015-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC006466101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL004790900Medicaid