Doctor Name: | KELLY MICHELLE DAYTON |
NPI Number: | 1215085733 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 4335 |
Business Practice Address: | 629 Dawsonville Hwy Suite 2201 Gainesville, GA - 305012610 |
Business Phone Number: | 7705349100 |
Business Fax Number: | 7705349104 |
Mailing Address: | 7328 Litany Court, FLOWERY BRANCH |
State: | GA |
Postal Code: | 30542 |
Phone Number: | 4046979070 |
Fax Number: | 4043782394 |
NPI Enumeration Date: | 01/08/2007 |
NPI Last Update Date: | 10/01/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 4335 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | GA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |