| Doctor Name: | MR. PATRICK T MCKAY |
| NPI Number: | 1154618643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LPC |
| License Number: | 101YS0200X- 723411 |
| Business Practice Address: | 203 Baywood Ln Villa Rica, GA - 301803856 |
| Business Phone Number: | 5869250577 |
| Business Fax Number: | 7708099232 |
| Mailing Address: | 203 Baywood Ln, VILLA RICA |
| State: | GA |
| Postal Code: | 301803856 |
| Phone Number: | 5869250577 |
| Fax Number: | 7708099232 |
| NPI Enumeration Date: | 07/05/2011 |
| NPI Last Update Date: | 07/05/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YS0200X |
| License Number: | 101YS0200X- 723411 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | GA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | School |
| Taxonomy Definition: | |