Provider Demographics
NPI:1063163319
Name:SAUNDERS, KAY WIKE (MS,LPC)
Entity type:Individual
Prefix:
First Name:KAY
Middle Name:WIKE
Last Name:SAUNDERS
Suffix:
Gender:F
Credentials:MS,LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:675 CEDAR DR W
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:GA
Mailing Address - Zip Code:31811-3731
Mailing Address - Country:US
Mailing Address - Phone:706-761-7438
Mailing Address - Fax:
Practice Address - Street 1:675 CEDAR DR W
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:GA
Practice Address - Zip Code:31811-3731
Practice Address - Country:US
Practice Address - Phone:706-761-7438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-18
Last Update Date:2022-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC004632101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional