| Kristin Hornsby Lpc Lmft Llc | |
|
2070 Buford Hwy Ste 1b Buford GA 30518-6097 | |
| (404) 431-8986 | |
| Not Available |
| Full Name | Kristin Hornsby Lpc Lmft Llc |
|---|---|
| Speciality | Counselor |
| Location | 2070 Buford Hwy Ste 1b, Buford, Georgia |
| Authorized Official Name and Position | Kristin A Hornsby (OWNER) |
| Authorized Official Contact | 4044318986 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kristin Hornsby Lpc Lmft Llc 6912 Flagstone Way Flowery Branch GA 30542-5232 Ph: (404) 431-8986 | Kristin Hornsby Lpc Lmft Llc 2070 Buford Hwy Ste 1b Buford GA 30518-6097 Ph: (404) 431-8986 |
| NPI Number | 1336737154 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 01/07/2021 |
| Certification Date | 01/07/2021 |
| Medicare PECOS PAC ID | 8628416633 |
|---|---|
| Medicare Enrollment ID | O20240409003429 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336737154 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Secondary |
| Provider Name | Kristin Anne Hornsby |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1407300155 PECOS PAC ID: 0446698450 Enrollment ID: I20240409003596 |
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