Kelly Anne Costello, - Counselor in Duluth, GA

Kelly Anne Costello, is a Counselor - Addiction (substance Use Disorder) based in Duluth, Georgia. Kelly Anne Costello is licensed to practice in * (Not Available) (license number ) and her current practice location is 3390 N Berkeley Lake Rd Nw Ste 100, Duluth, Georgia. She can be reached at her office (for appointments etc.) via phone at (470) 327-8336.

NPI number for Kelly Anne Costello is 1679307193 and her current mailing address is 511 Amber Stone, Waleska, Georgia. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1679307193.

Contact Information

Kelly Anne Costello,
3390 N Berkeley Lake Rd Nw Ste 100,
Duluth, GA 30096-3006
(470) 327-8336
Not Available

Map and Direction


Healthcare Provider's Profile

Full NameKelly Anne Costello
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location3390 N Berkeley Lake Rd Nw Ste 100, Duluth, Georgia
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1679307193
  • Provider Enumeration Date: 08/27/2024
  • Last Update Date: 08/27/2024

Medical Identifiers

Medical identifiers for Kelly Anne Costello such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1679307193NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) (* (Not Available))Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kelly Anne Costello is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kelly Anne Costello,
511 Amber Stone,
Waleska, GA 30183-4311

Ph: () -
Kelly Anne Costello,
3390 N Berkeley Lake Rd Nw Ste 100,
Duluth, GA 30096-3006

Ph: (470) 327-8336

Reviews and Comments


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