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General NPI Number Information
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NPI Number | 1245410489
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Entity Type | Individual
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Provider Name | KELLI CHRISTINE MCLEOD-ROY MA, NCC, LPC
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Gender | Female
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Dates
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Enumeration Date | 11/05/2007
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 2784 N DECATUR RD STE 145
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City | DECATUR
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State | GA
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Zip | 30033-5903
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Country | US
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Telephone | 770-298-8945
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Fax | 855-254-4114
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Provider Business Mailing Address
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Address Line | 2784 N DECATUR RD STE 145
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City | DECATUR
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State | GA
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Zip | 30033-5903
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Country | US
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Telephone | 770-298-8945
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Fax | 855-254-4114
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0855X
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Taxonomy Name | Adolescent and Children Mental Health Clinic/Center
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License Number | LPC004902
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 283Q00000X
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Taxonomy Name | Psychiatric Hospital
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License Number | LPC004902
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License Number State | GA
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Taxonomy #3
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | LPC004902
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License Number State | GA
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Taxonomy #4
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | LPC004902
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License Number State | GA
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Taxonomy #5
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC004902
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License Number State | GA
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Taxonomy #6
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | LPC004902
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License Number State | GA
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Taxonomy #7
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | LPC004902
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License Number State | GA
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Taxonomy #8
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number | LPC004902
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License Number State | GA
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