Provider Demographics
NPI:1740882836
Name:KITE, SAVANAH (LAMFT)
Entity type:Individual
Prefix:MRS
First Name:SAVANAH
Middle Name:
Last Name:KITE
Suffix:
Gender:F
Credentials:LAMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19 BARKSDALE DR
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-9521
Mailing Address - Country:US
Mailing Address - Phone:401-481-0444
Mailing Address - Fax:
Practice Address - Street 1:205 S SKINNER AVE UNIT B
Practice Address - Street 2:
Practice Address - City:POOLER
Practice Address - State:GA
Practice Address - Zip Code:31322-3221
Practice Address - Country:US
Practice Address - Phone:912-349-8043
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-11-12
Last Update Date:2020-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAMFT000658101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health