Provider Demographics
NPI:1982248555
Name:KING, CHELSEA (NCC, LPC)
Entity type:Individual
Prefix:
First Name:CHELSEA
Middle Name:
Last Name:KING
Suffix:
Gender:
Credentials:NCC, LPC
Other - Prefix:
Other - First Name:CHELSEA
Other - Middle Name:
Other - Last Name:BANKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:327 NORTHWOODS LAKE CT
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-7976
Mailing Address - Country:US
Mailing Address - Phone:706-566-7328
Mailing Address - Fax:
Practice Address - Street 1:327 NORTHWOODS LAKE CT
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-7976
Practice Address - Country:US
Practice Address - Phone:706-566-7328
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-11-06
Last Update Date:2025-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC014521101YP2500X
171W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional