Healthcare Provider Details

I. General information

NPI: 1124842703
Provider Name (Legal Business Name): GINGER KAY VOSE LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/11/2024
Last Update Date: 06/02/2026
Certification Date: 06/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3534 VILLAGE ENCLAVE LN
CUMMING GA
30040-1027
US

IV. Provider business mailing address

3534 VILLAGE ENCLAVE LN
CUMMING GA
30040-1027
US

V. Phone/Fax

Practice location:
  • Phone: 678-306-9224
  • Fax: 678-306-9224
Mailing address:
  • Phone: 678-306-9224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLPC015148
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: