Healthcare Provider Details

I. General information

NPI: 1821277690
Provider Name (Legal Business Name): DENISE AMELIA KEMP M.S., LMHC, LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: DENISE AMELIA BLOW-KEMP M.S., LMHC, LPC

II. Dates (important events)

Enumeration Date: 10/29/2007
Last Update Date: 06/25/2026
Certification Date: 06/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 WALKING HORSE WAY NE
KENNESAW GA
30144-1622
US

IV. Provider business mailing address

310 WALKING HORSE WAY NE
KENNESAW GA
30144-1622
US

V. Phone/Fax

Practice location:
  • Phone: 850-443-1334
  • Fax:
Mailing address:
  • Phone: 850-443-1334
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberLPC016790
License Number StateGA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMH5565
License Number StateFL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: