Provider Demographics
NPI:1487943973
Name:KNOTT, CAROLINE L (LPC)
Entity type:Individual
Prefix:
First Name:CAROLINE
Middle Name:L
Last Name:KNOTT
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 7
Mailing Address - Street 2:
Mailing Address - City:BREVARD
Mailing Address - State:NC
Mailing Address - Zip Code:28712-0007
Mailing Address - Country:US
Mailing Address - Phone:404-725-4861
Mailing Address - Fax:706-784-4325
Practice Address - Street 1:514 W BANKHEAD HWY STE 100
Practice Address - Street 2:
Practice Address - City:VILLA RICA
Practice Address - State:GA
Practice Address - Zip Code:30180-1737
Practice Address - Country:US
Practice Address - Phone:404-725-4861
Practice Address - Fax:706-784-4325
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-05
Last Update Date:2022-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC005439101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional