Healthcare Provider Details

I. General information

NPI: 1982397857
Provider Name (Legal Business Name): ABIGAIL TAYLOR KREISINGER APC, MS, NCC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2023
Last Update Date: 06/01/2023
Certification Date: 06/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2055 SUGARLOAF CIR STE 575
DULUTH GA
30097-9804
US

IV. Provider business mailing address

2195 LAUREL LAKE DR
SUWANEE GA
30024-4319
US

V. Phone/Fax

Practice location:
  • Phone: 770-389-8100
  • Fax:
Mailing address:
  • Phone: 678-920-9912
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberAPC009039
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: