Provider Demographics
NPI:1730426594
Name:KARYN L KOCHAN, MS, LPC, INC.
Entity type:Organization
Organization Name:KARYN L KOCHAN, MS, LPC, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE ANGER
Authorized Official - Prefix:MR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:V
Authorized Official - Last Name:KOCHAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:404-791-8023
Mailing Address - Street 1:800 KENDALL KNOLL WAY
Mailing Address - Street 2:1ST FLOOR
Mailing Address - City:MABLETON
Mailing Address - State:GA
Mailing Address - Zip Code:30126-5963
Mailing Address - Country:US
Mailing Address - Phone:404-791-8023
Mailing Address - Fax:770-941-2369
Practice Address - Street 1:3330 CUMBERLAND BLVD SE
Practice Address - Street 2:SUITE 500
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30339-5995
Practice Address - Country:US
Practice Address - Phone:404-791-8023
Practice Address - Fax:770-941-2369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-01-12
Last Update Date:2013-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC003766101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty