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MRS. KELLY DENISE GORHAM LPC
NPI 1487313821
Counselor - Mental Health in Conyers, GA

Active since December 13, 2021
2605 HOLLOW PNE, CONYERS, GA 30094(770) 940-1792 Get Directions Write a Review

NPPES record last updated: December 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Kelly Denise Gorham Lpc NPPES

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

MRS. KELLY DENISE GORHAM LPC (NPI 1487313821) is an individual mental health provider in Conyers, Georgia, licensed in Georgia (LPC012546) and active in the NPI registry since December 2021.

NPPES Registry Identity

NPI1487313821
Entity TypeIndividualFemale
Primary Taxonomy101YM0800X
Provider Legal NameMRS. KELLY DENISE GORHAMCredential: LPC
Location Address2605 HOLLOW PNEConyers, GA 30094-3982
Mailing Address2605 Hollow PneConyers, GA 30094-3982 · (770) 940-1792
Phone(770) 940-1792
Sole ProprietorYes
Enumeration DateDecember 13, 2021
NPPES CertifiedDecember 11, 2021
✔ NPI 1487313821 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in GA · LPC012546
2605 HOLLOW PNE, Conyers, GA 30094
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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 Gorham's NPI number?

The NPI number for Kelly Gorham is 1487313821. It was assigned to this individual provider in the NPPES registry on December 13, 2021.

Where is Kelly Gorham located?

Kelly Gorham practices at 2605 Hollow Pne, Conyers, GA 30094. The listed phone number is (770) 940-1792.

What is Kelly Gorham's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Kelly Gorham was last updated on December 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.