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

Mrs. Kelly Waggoner, LPCC

Individual provider Mental Health Counselor · NPI 1730501511

Mrs. Kelly Waggoner, LPCC is a Mental Health Counselor in Lilburn, Georgia. Practices as a sole proprietor and works from 2 locations. Licensed in New Mexico.

Licensed in
NM
In the registry since
2014
What do these letters mean?
LPCC — Licensed Professional Clinical Counselor
The title some states use for a licensed clinical counsellor.

See every abbreviation used in this directory →

Practice location Address checks out

5165 Bowers Brook Dr SW
Lilburn, GA 30047-5172
Phone: (505) 695-1613
Show map & directions

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

Additional practice locations (1)

  • 11005 Spain Rd Ne Ste 21, Albuquerque, NM 87111-1871 — (505) 695-1613

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence CCHM0207621 (NM)

Record details

NPI number1730501511
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCC
Sole proprietorYes
NPI enumeratedJanuary 13, 2014
Last updated in NPPESJuly 20, 2020
Certification dateJuly 20, 2020

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