Provider Demographics
NPI:1104717263
Name:NORMAN, KAITLYN MICHELLE (LPC)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:MICHELLE
Last Name:NORMAN
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:KING
Other - Last Name:STRIPLING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:3925 VANDERBILT DR
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31721-8618
Mailing Address - Country:US
Mailing Address - Phone:229-214-5190
Mailing Address - Fax:
Practice Address - Street 1:321 WILLIAM JR ST
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3976
Practice Address - Country:US
Practice Address - Phone:229-214-5190
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-07-15
Last Update Date:2025-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC015836101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health