Healthcare Provider Details

I. General information

NPI: 1063323251
Provider Name (Legal Business Name): FERN & FEATHER COUNSELING AND WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

566 PEACHTREE PKWY STE 122
CUMMING GA
30041-9792
US

IV. Provider business mailing address

566 PEACHTREE PKWY STE 122
CUMMING GA
30041-9792
US

V. Phone/Fax

Practice location:
  • Phone: 770-563-8334
  • Fax:
Mailing address:
  • Phone: 770-563-8334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name: KIERA SMITH
Title or Position: CO-FOUNDER/DIRECTOR
Credential: LPC
Phone: 770-563-8334