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

Mrs. Carolyn Kennedy Anderson, LPC

Individual provider Counselor · NPI 1417279316

Mrs. Carolyn Kennedy Anderson, LPC is a Counselor in Stone Mountain, Georgia. Practices as a sole proprietor. Licensed in California, Georgia, Michigan and Oregon.

Licensed in
CA, GA, MI, OR
In the registry since
2010
Specialties on file
5
What do these letters mean?
LPC — Licensed Professional Counselor
A licensed mental health counsellor.

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Practice location Address checks out

6188 Swabia Ct
Stone Mountain, GA 30087-4987
Phone: (470) 385-8777
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence LPC010164 (GA)
Counselor Taxonomy 101Y00000X · Licence CPCS4359 (GA)
Professional Counselor Taxonomy 101YP2500X · Licence LPCC17939 (CA)
Professional Counselor Taxonomy 101YP2500X · Licence 6401004002 (MI)
Professional Counselor Taxonomy 101YP2500X · Licence C9773 (OR)

Record details

NPI number1417279316
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPC
Sole proprietorYes
NPI enumeratedFebruary 18, 2010
Last updated in NPPESOctober 9, 2025
Certification dateOctober 9, 2025

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