NPI age
5 years
Enumerated 2021-01-12
● Active Type 2 · Organization
Kelly E Redwine Lpc Llc
Kelly E Redwine Lpc Llc is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 2 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Redwine
Owner
Last NPPES update
2021-10-28
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
5 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
2
In the 18% of peers with subspecialties
NPI lifetime · 2021 → 2026
2021-01Enumerated in NPPES
2021
2026
Where they practice
Primary practice location
300 Broadway Ave
Braselton, GA 30517
Mailing address
Po Box 637
Braselton, GA 305170011
Authorized official
Kelly Redwine, LPC
Owner
📞 7706957501
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Gary Bauman, PH.D., LPC Counselor NPI 1629436068
- Anna Packer, MA, LPC Counselor NPI 1265983902
- Jessica Sexton Counselor NPI 1487134714
- Angela Wilson, LPC Counselor NPI 1093051351
Specialties
-
Clinic/Center PrimaryDefinition to come...
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family...
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.