Healthcare Provider Details

I. General information

NPI: 1811803216
Provider Name (Legal Business Name): KAITLYN MCLAUGHLIN LPC, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2026
Last Update Date: 08/24/2026
Certification Date: 08/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2270 CAPE COURAGE WAY
SUWANEE GA
30024-2762
US

IV. Provider business mailing address

2270 CAPE COURAGE WAY
SUWANEE GA
30024-2762
US

V. Phone/Fax

Practice location:
  • Phone: 470-201-7804
  • Fax:
Mailing address:
  • Phone: 470-201-7804
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: KAITLYN IDE
Title or Position: FOUNDER & CLINICAL DIRECTOR
Credential: MS, LPC
Phone: 470-201-7804