MEDICARE: KATHRYN LINDA GELFAND 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	LPC013306	GA

General Provider Information

NPI Number	:	1942906458
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHRYN LINDA GELFAND LPC

Provider Business Mailing Address
First Line	:	1827 POWERS FERRY RD SE BLDG 22
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5621
Country	:	US
Telephone Number	:	718-662-8034
Fax Number	:	770-995-1959

Provider Business Practice Location Address
First Line	:	1827 POWERS FERRY RD SE # 22
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30339-5621
Country	:	US
Telephone Number	:	770-953-4744
Fax Number	:	770-953-4640

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

Provider Enumeration Date	:	02/06/2023
Last Update Date	:	03/23/2026

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