MEDICARE: D. AMELIA BLOW-KEMP M.S., LMHC, LPC

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	101YM0800X	Mental Health Counselor	MH5565	FL
2	101Y00000X	Counselor	LPC016790	GA

General Provider Information

NPI Number	:	1821277690
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	D. AMELIA BLOW-KEMP M.S., LMHC, LPC

Provider Business Mailing Address
First Line	:	310 WALKING HORSE WAY NE
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-1622
Country	:	US
Telephone Number	:	850-443-1334
Fax Number	:

Provider Business Practice Location Address
First Line	:	310 WALKING HORSE WAY NE
Second Line	:
City	:	KENNESAW
State	:	GA
Zip	:	30144-1622
Country	:	US
Telephone Number	:	850-443-1334
Fax Number	:

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

Provider Enumeration Date	:	10/29/2007
Last Update Date	:	06/05/2026

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