MEDICARE: KATHLEEN ELEANOR BURNS MA

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
2	103T00000X	Psychologist
3	103TC0700X	Clinical Psychologist	PSY004630	GA

General Provider Information

NPI Number	:	1841640588
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN ELEANOR BURNS MA

Provider Business Mailing Address
First Line	:	1074 PONCE DE LEON AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-4216
Country	:	US
Telephone Number	:	404-939-7151
Fax Number	:

Provider Business Practice Location Address
First Line	:	1074 PONCE DE LEON AVE NE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30306-4216
Country	:	US
Telephone Number	:	404-939-7151
Fax Number	:

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

Provider Enumeration Date	:	06/14/2016
Last Update Date	:	11/06/2023

Similar Medicare Providers

1588376453 — CURIOSITY COUNSELING AND CONSULTING LLC
Practice Location Address:

1074 PONCE DE LEON AVE NE STE C
ATLANTA, GA
30306-4216

Practice Phone: 470-594-2733
Practice Fax: 470-878-2030

1588027973 — DR. AHMAD UMAIR JANJUA M.D.
Practice Location Address:

1074 PONCE DE LEON AVE NE
ATLANTA, GA
30306-4216

Practice Phone: 404-618-1854
Practice Fax:

1538683115 — DR. VALERIA N VALDIVIESO WRIGHT PSY.D
Practice Location Address:

1074 PONCE DE LEON AVE NE STE E
ATLANTA, GA
30306-4216

Practice Phone: 470-502-5130
Practice Fax:

1508501206 — MINDSPRING HEALTH INC.
Practice Location Address:

1074 PONCE DE LEON AVE NE
ATLANTA, GA
30306-4216

Practice Phone: 404-618-1854
Practice Fax:

1174216089 — DR. ZACHARY TABER PH.D.
Practice Location Address:

1074 PONCE DE LEON AVE NE
ATLANTA, GA
30306-4216

Practice Phone: 678-369-3235
Practice Fax:

1699651869 — VALDIVIESO PSYCH LLC
Practice Location Address:

1074 PONCE DE LEON AVE NE STE E
ATLANTA, GA
30306-4216

Practice Phone: 470-502-5130
Practice Fax:

Directions to “ KATHLEEN ELEANOR BURNS MA” 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.