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Active NPI 1760123657 Individual Practitioner Female Practitioner

Khaliliah Kendra Smith

Counselor - Professional • Conyers, GA

Professional Overview & Biography Verified Profile Summary

Khaliliah Smith is a registered healthcare professional specializing in Counselor - Professional in Conyers, GA. Practice services are available at 1005 MILSTEAD AVE NE STE 103 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1005 Milstead Ave Ne Ste 103

Conyers, GA 300124509

Telephone 7708608549
Fax 8662101269

Specialty Benchmarks & Practice Insights

Comparative analytics for Counselor - Professional in Conyers, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 11.8 Yrs
State Avg: 15.6 Yrs
Regional Practice Density
78 Specialists

Practicing in Conyers, GA (6655 Statewide)

Telehealth Adoption Rate
2.6% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2022-04-04
Counselor - Professional Primary Specialty

NUCC Taxonomy Code: 101YP2500X

State License GA 12841

Definition to come...

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

3 Associated Practitioners
NPI 1215136189

Licensed Professional Counselor

Heike Mcmillan , LPC

Counselor - Professional

NPI 1699074047

Licensed Professional Counselor

NPI 1932468733

LICENSEDPROFESSIONA

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
✅
NPI Profile Active April 05, 2022

NPI status registered as active in NPPES database

📍
Updated Practice Location April 05, 2022

Registered at 1005 MILSTEAD AVE NE STE 103, CONYERS, GA 300124509 (Tel: 7708608549)

📍
Updated Business Mailing Address April 05, 2022

Registered at 1705 DRUIDS CT SE, CONYERS, GA 300132979 (Tel: 6788518703)

👤
Provider Name / Credentials Updated April 05, 2022

Recorded as KHALILIAH SMITH

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) April 05, 2022

Counselor (License #12841 in GA)

🟢
Initial NPI Registration & Enumeration April 05, 2022

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760123657
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: April 05, 2022
Last Update: April 05, 2022
Sole Proprietor: Yes
Update or Correct Profile

Mailing Address

1705 Druids Ct Se

Conyers, GA 300132979

Phone: 6788518703

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.