Provider Demographics
NPI:1457523771
Name:POYNOR, KAREN (LPC, NCC)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:
Last Name:POYNOR
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1479 BROCKETT RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:TUCKER
Mailing Address - State:GA
Mailing Address - Zip Code:30084-7326
Mailing Address - Country:US
Mailing Address - Phone:404-625-5427
Mailing Address - Fax:404-508-8944
Practice Address - Street 1:1479 BROCKETT RD
Practice Address - Street 2:SUITE 101
Practice Address - City:TUCKER
Practice Address - State:GA
Practice Address - Zip Code:30084-7326
Practice Address - Country:US
Practice Address - Phone:404-625-5427
Practice Address - Fax:404-508-8944
Is Sole Proprietor?:No
Enumeration Date:2008-03-26
Last Update Date:2013-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004100101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional