Doctor Name: | MS. KEISHA NICHOLE HOOD |
NPI Number: | 1073910121 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MAMFT, LMFT, LPC |
License Number: | LPC007995 |
Business Practice Address: | 385 Country Club Dr Suite E Stockbridge, GA - 302817351 |
Business Phone Number: | 6786719908 |
Business Fax Number: | |
Mailing Address: | 167 Worthington Way, LAKE SPIVEY |
State: | GA |
Postal Code: | 302365588 |
Phone Number: | 6786719908 |
Fax Number: | |
NPI Enumeration Date: | 12/04/2014 |
NPI Last Update Date: | 11/02/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | LPC007995 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |