Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KELLY REBECCA PETACCIO, MS LPC CPCS
Active Sole ProprietorKELLY REBECCA PETACCIO, MS LPC CPCS is a Mental Health Counselor healthcare provider located in PEACHTREE CITY, Georgia. NPI 1669751160 is currently active in the NPPES registry. Verify at CMS.
Mental Health Counselor · PEACHTREE CITY, GA
Registration Details
- NPI Number
- 1669751160
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Aug 15, 2011 (14.957575176319 yrs)
- Last Updated
- Jan 27, 2020
- License
-
LPC008109 (GA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
130 GOVERNORS SQ STE BPEACHTREE CITY, GA, 302694862Browse GA providers · Browse ZIP 30269
- Phone
- 7705192743
- Primary Specialty
-
Mental Health Counselor
101YM0800X
- Additional Specialty
- Mental Health Counselor
Other Mental Health Counselor Providers in PEACHTREE CITY, GA
| Name | Credential | NPI |
|---|---|---|
| DONNA KAY HEINLEN | LPC | 1396951398 |
| REBEKAH JONES | — | 1871742544 |
| MS. JUDITH DIANNE CLEVELAND | PH.D. | 1629397492 |
| KARA M MAGILL | LCSW | 1184995706 |
| MONICA L. BELL-CALLAHAN | MA, LPC, NCC | 1396169959 |
| MRS. RUBY FLOWERS-AIME | NCC, LAPC | 1861864795 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.