NPI 1992124630 · live from the CMS NPI Registry
Brandalyn Bates, LPCC
Counselor, Mental Health in Conyers, GA. National Provider Identifier 1992124630, active.
NPI record
| NPI | 1992124630 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Counselor, Mental Health 101YM0800X |
| Practice location | 1203 Woodlyn Chase Ne, Conyers, GA 30012 |
| Practice phone | 330-261-1790 |
| Enumerated | April 9, 2014 |
| Last updated | September 13, 2026 |
| Sole proprietor | Yes |
| Other names | Brandalyn Kemp |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | C.1000484 (OH) |
| Counselor, Mental Health primary | 101YM0800X | E.1801001 (OH) |
| Counselor, Professional | 101YP2500X | LPC013851 (GA) |
| Counselor, Professional | 101YP2500X | C.1000484 (OH) |
| Marriage & Family Therapist | 106H00000X | C.1000484 (OH) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.