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

Khaliliah Kendra Smith

Individual provider Professional Counselor · NPI 1760123657

Khaliliah Kendra Smith is a Professional Counselor in Conyers, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2022

Practice location Address checks out

1005 Milstead Ave NE Ste 103
Conyers, GA 30012-4509
Phone: (770) 860-8549
Fax: (866) 210-1269
Show map & directions

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

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 12841 (GA)

Record details

NPI number1760123657
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedApril 5, 2022
Last updated in NPPESApril 5, 2022
Certification dateApril 4, 2022
Mailing address1705 Druids Ct Se, Conyers, GA 30013-2979

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