KELLY E REDWINE LPC LLC
NPI 1093304297
Clinic/Center - Mental Health (Including Community Mental Health Center) in Braselton, GA

Active since January 12, 2021
300 BROADWAY AVE, BRASELTON, GA 30517(770) 695-7501 Get Directions Write a Review

NPPES record last updated: October 28, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Kelly E Redwine Lpc Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY E REDWINE LPC LLC (NPI 1093304297) is a healthcare organization registered as a mental health (including community mental health center) in Braselton, Georgia and active in the NPI registry since January 2021. The organization lists Kelly Redwine, Owner, as its authorized official.

NPPES Registry Identity

NPI1093304297
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameKELLY E REDWINE LPC LLC
Location Address300 BROADWAY AVEBraselton, GA 30517
Mailing AddressPo Box 637Braselton, GA 30517-0011
Organization SubpartNo
Authorized OfficialKelly RedwineOwner · (770) 695-7501
Enumeration DateJanuary 12, 2021
Last NPPES UpdateOctober 28, 2021
NPPES CertifiedOctober 28, 2021
NPI 1093304297 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedClinic/Center · Adult Mental HealthTaxonomy 261QM0850X
300 BROADWAY AVE, Braselton, GA 30517

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Counselor (Professional)
300 BROADWAY AVE, POST OFFICE BOX 637
BRASELTON, GA 30517
Counselor (Professional)
300 BROADWAY AVE
BRASELTON, GA 30517
Community/Behavioral Health
300 BROADWAY AVE
BRASELTON, GA 30517
Counselor (Professional)
300 BROADWAY AVE
BRASELTON, GA 30517
Counselor (Professional)
300 BROADWAY AVE
BRASELTON, GA 30517

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly E Redwine Lpc LLC's NPI number?

The NPI number for Kelly E Redwine Lpc LLC is 1093304297. It was assigned to this organization in the NPPES registry on January 12, 2021.

Where is Kelly E Redwine Lpc LLC located?

Kelly E Redwine Lpc LLC is located at 300 Broadway Ave, Braselton, GA 30517. The listed phone number is (770) 695-7501.

What is Kelly E Redwine Lpc LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Kelly E Redwine Lpc LLC was last updated on October 28, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.