Healthcare Provider Details

I. General information

NPI: 1497682777
Provider Name (Legal Business Name): EVA ELIZABETH KNIGHT LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/08/2026
Last Update Date: 05/08/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

88 SHEPHERDS CT
JEFFERSON GA
30549-7038
US

IV. Provider business mailing address

88 SHEPHERDS CT
JEFFERSON GA
30549-7038
US

V. Phone/Fax

Practice location:
  • Phone: 404-358-5179
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLPC016482
License Number StateGA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: