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NPI Code Detail

MEDICARE: EMMY KATHLEEN HENDRIX

MEDICARE: EMMY KATHLEEN HENDRIX
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLPC016291GA

General Provider Information

NPI Number : 1255130753
Entity Type Code : Individual
Provider Name (Legal Business Name) : EMMY KATHLEEN HENDRIX
Provider Business Mailing Address
First Line : 375 RALPH MCGILL BLVD NE APT 383H
Second Line :
City : ATLANTA
State : GA
Zip : 30312-1227
Country : US
Telephone Number : 404-434-2343
Fax Number :
Provider Business Practice Location Address
First Line : 199 ARMOUR DR NE STE E
Second Line :
City : ATLANTA
State : GA
Zip : 30324-3975
Country : US
Telephone Number : 678-883-2343
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2025
Last Update Date : 03/04/2026

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Directions to “ EMMY KATHLEEN HENDRIX ” Practice Location

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