Provider Demographics
NPI:1891231387
Name:MCKEE, TANEA (LMFT)
Entity Type:Individual
Prefix:MS
First Name:TANEA
Middle Name:
Last Name:MCKEE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5365 CREEKVIEW LN
Mailing Address - Street 2:
Mailing Address - City:MORROW
Mailing Address - State:GA
Mailing Address - Zip Code:30260-4216
Mailing Address - Country:US
Mailing Address - Phone:404-990-7545
Mailing Address - Fax:
Practice Address - Street 1:1035 MAIN ST
Practice Address - Street 2:
Practice Address - City:FOREST PARK
Practice Address - State:GA
Practice Address - Zip Code:30297-1441
Practice Address - Country:US
Practice Address - Phone:404-366-3420
Practice Address - Fax:404-608-1365
Is Sole Proprietor?:No
Enumeration Date:2017-01-09
Last Update Date:2021-01-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAMFT001517106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist