Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Kaitlyn Mary Clark, LPC

Individual provider Case Manager/Care Coordinator · NPI 1457725095

Kaitlyn Mary Clark, LPC is a Case Manager/Care Coordinator in Tucker, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2015
Specialties on file
2
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

3760 Lavista Rd Ste 102
Tucker, GA 30084-5622
Phone: (770) 375-8124
Fax: (770) 559-5543
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1370 Center Dr Ste 205, Atlanta, GA 30338-4132 — (770) 375-8124

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC012288 (GA)
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1457725095
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorNo
NPI enumeratedNovember 19, 2015
Last updated in NPPESSeptember 6, 2022
Certification dateSeptember 6, 2022

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