MEDICARE: MRS. KIMBERLY ANN BENNETT L.P.C.

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
1	101YP2500X	Professional Counselor	LPC004461	GA

General Provider Information

NPI Number	:	1730419094
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. KIMBERLY ANN BENNETT L.P.C.

Provider Business Mailing Address
First Line	:	3170 CHAPEL RD NW
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-4202
Country	:	US
Telephone Number	:	678-574-4722
Fax Number	:	678-574-4722

Provider Business Practice Location Address
First Line	:	3170 CHAPEL RD NW
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-4202
Country	:	US
Telephone Number	:	678-574-4722
Fax Number	:	678-574-4722

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/10/2010
Last Update Date	:	01/10/2010

Similar Medicare Providers

1821945056 — SEYCHELLE VIOLET ANDRONICO MA, LMFT
Practice Location Address:

2601 SUMMERS ST NW
KENNESAW, GA
30144-3547

Practice Phone: 404-884-2080
Practice Fax:

1114765773 — SHAKERRIA ONAISA ALLEN
Practice Location Address:

3330 CHASTAIN MEADOWS PKWY NW STE 200
KENNESAW, GA
30144-5881

Practice Phone: 678-648-7644
Practice Fax:

1245117597 — ZYAN HAIRSTON
Practice Location Address:

3330 CHASTAIN MEADOWS PKWY NW STE 200
KENNESAW, GA
30144-5881

Practice Phone: 678-648-7644
Practice Fax:

1073195780 — GA DOCTORS OF OPTOMETRY LLC
Practice Location Address:

440 ERNEST W BARRETT PKWY NW STE 21
KENNESAW, GA
30144-4918

Practice Phone: 770-429-1660
Practice Fax: 770-429-5509

1316894371 — AHARMONY HOME HEALTH
Practice Location Address:

2752 WATTS DR NW STE A
KENNESAW, GA
30144-2721

Practice Phone: 269-352-3753
Practice Fax:

1427873678 — SHANTEL SHARIE JOHNSON-YOUNGBLOOD
Practice Location Address:

3330 CHASTAIN MEADOWS PKWY NW STE 200
KENNESAW, GA
30144-5881

Practice Phone: 678-648-7644
Practice Fax:

Directions to “ MRS. KIMBERLY ANN BENNETT L.P.C.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.