Provider Demographics
NPI:1285462499
Name:BURTS, KELSEY (APC, NCC)
Entity type:Individual
Prefix:
First Name:KELSEY
Middle Name:
Last Name:BURTS
Suffix:
Gender:F
Credentials:APC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 STRATHMORE DR
Mailing Address - Street 2:
Mailing Address - City:CUMMING
Mailing Address - State:GA
Mailing Address - Zip Code:30041-7455
Mailing Address - Country:US
Mailing Address - Phone:770-615-2500
Mailing Address - Fax:
Practice Address - Street 1:314 TRIBBLE GAP RD STE B
Practice Address - Street 2:
Practice Address - City:CUMMING
Practice Address - State:GA
Practice Address - Zip Code:30040-2475
Practice Address - Country:US
Practice Address - Phone:770-615-6115
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-07-22
Last Update Date:2024-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor