Provider Demographics
NPI:1831082643
Name:BARNARD, KELLY THOMPSON (LPC)
Entity type:Individual
Prefix:MRS
First Name:KELLY
Middle Name:THOMPSON
Last Name:BARNARD
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 1:281 THOMPSON RD
Mailing Address - Street 2:
Mailing Address - City:PITTS
Mailing Address - State:GA
Mailing Address - Zip Code:31072-2440
Mailing Address - Country:US
Mailing Address - Phone:229-425-6796
Mailing Address - Fax:
Practice Address - Street 1:281 THOMPSON RD
Practice Address - Street 2:
Practice Address - City:PITTS
Practice Address - State:GA
Practice Address - Zip Code:31072-2440
Practice Address - Country:US
Practice Address - Phone:229-425-6796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC012468101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional