Provider Demographics
NPI:1972042091
Name:KEY, SHELIA J (LPC)
Entity type:Individual
Prefix:
First Name:SHELIA
Middle Name:J
Last Name:KEY
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 1:434 LAKE RIDGE LN
Mailing Address - Street 2:
Mailing Address - City:FAIRBURN
Mailing Address - State:GA
Mailing Address - Zip Code:30213-5800
Mailing Address - Country:US
Mailing Address - Phone:404-368-0702
Mailing Address - Fax:470-372-1695
Practice Address - Street 1:111 PETROL PT STE G
Practice Address - Street 2:
Practice Address - City:PEACHTREE CITY
Practice Address - State:GA
Practice Address - Zip Code:30269-1573
Practice Address - Country:US
Practice Address - Phone:470-629-5424
Practice Address - Fax:470-372-1695
Is Sole Proprietor?:Yes
Enumeration Date:2017-02-22
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPCPC009408101Y00000X, 101YM0800X
GALPC009408101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor