Individual provider · Type 1 NPI
Kaitlyn Ide, LPC
Mental Health Counselor · Suwanee, GA
NPI number
1497485007
Active
Practice location
2270 Cape Courage Way
Suwanee, GA 30024-2762
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LPC13028 (GA) |
Mental Health Counselor: Definition to come...
Another provider at this address
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About NPI 1497485007
Kaitlyn Ide, LPC's National Provider Identifier is 1497485007, issued on Jun 15, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Suwanee, GA. The record was last updated on Aug 16, 2026.