Provider Demographics
NPI:1982397857
Name:KREISINGER, ABIGAIL TAYLOR (APC, MS, NCC)
Entity Type:Individual
Prefix:MS
First Name:ABIGAIL
Middle Name:TAYLOR
Last Name:KREISINGER
Suffix:
Gender:F
Credentials:APC, MS, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2195 LAUREL LAKE DR
Mailing Address - Street 2:
Mailing Address - City:SUWANEE
Mailing Address - State:GA
Mailing Address - Zip Code:30024-4319
Mailing Address - Country:US
Mailing Address - Phone:678-920-9912
Mailing Address - Fax:
Practice Address - Street 1:2055 SUGARLOAF CIR STE 575
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30097-9804
Practice Address - Country:US
Practice Address - Phone:770-389-8100
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-05-29
Last Update Date:2023-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAAPC009039101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional