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

Kelly S Taylor

Individual provider Professional Counselor · NPI 1376374082

Kelly S Taylor is a Mental Health Counselor in Sumner, Georgia. Qualified in 2021, 5 years ago. Practices as a sole proprietor. Licensed in Georgia.

Years since qualifying
5
Licensed in
GA
In the registry since
2024

Practice location Address checks out

3104 Sumner Rd N
Sumner, GA 31789-4232
Phone: (229) 326-3427
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC014922 (GA)

Record details

NPI number1376374082
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedAugust 13, 2024
Last updated in NPPESAugust 13, 2024
Certification dateAugust 13, 2024
Mailing address3104 Sumner Rd N, Sumner, GA 31789-4232

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMENTAL HEALTH COUNSELOR
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated