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

Kris Ellen Shock, APC

Individual provider Mental Health Counselor · NPI 1154090009

Kris Ellen Shock, APC is a Mental Health Counselor in Kennesaw, Georgia. Practices as a sole proprietor. Licensed in Georgia.

Licensed in
GA
In the registry since
2021

Practice location Address checks out

4255 Wade Green Rd NW Ste 414
Kennesaw, GA 30144-1763
Phone: (678) 213-2194
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence APC007485 (GA)

Record details

NPI number1154090009
Entity typeIndividual (Type 1)
GenderFemale
Credentials APC
Sole proprietorYes
NPI enumeratedSeptember 13, 2021
Last updated in NPPESSeptember 13, 2021
Certification dateSeptember 13, 2021
Mailing address59 Gaddis Rd Nw, Cartersville, GA 30120-4673

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