=====================================================
General NPI Number Information
=====================================================
NPI Number | 1649714494
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARYN L KING LPC, CPCS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/13/2016
-----------------------------------------------------
Last Update Date | 08/28/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 123 EAGLES LANDING PKWY
-----------------------------------------------------
City | STOCKBRIDGE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30281-5092
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-449-8621
-----------------------------------------------------
Fax | 404-446-0971
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 950 EAGLES LANDING PKWY # 720
-----------------------------------------------------
City | STOCKBRIDGE
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30281-7343
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 404-446-0300
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 010402
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 101YP2500X
-----------------------------------------------------
Taxonomy Name | Professional Counselor
-----------------------------------------------------
License Number | 010402
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------