KELLY ANNE COSTELLO
NPI 1679307193
Counselor - Addiction (Substance Use Disorder) in Duluth, GA

Q: What is Kelly Costello's NPI number?

The NPI number for Kelly Costello is 1679307193. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Q: What is Kelly Costello's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

Q: When was this NPI record last updated?

The NPPES record for Kelly Costello was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.

Active since August 27, 2024

3390 N BERKELEY LAKE RD NW STE 100, DULUTH, GA 30096(470) 327-8336 Get Directions Write a Review

NPPES record last updated: August 27, 2024. Verified against the NPPES registry weekly; last sync: August 23, 2026.

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About Kelly Anne Costello NPPES

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

KELLY ANNE COSTELLO (NPI 1679307193) is an individual addiction (substance use disorder) provider in Duluth, Georgia and active in the NPI registry since August 2024.

NPPES Registry Identity

NPI1679307193

Entity TypeIndividualFemale

Primary Taxonomy101YA0400X

Provider Legal NameKELLY ANNE COSTELLO

Location Address3390 N BERKELEY LAKE RD NW STE 100Duluth, GA 30096-3006

Mailing Address511 Amber StoneWaleska, GA 30183-4311

Phone(470) 327-8336

Sole ProprietorYes

Enumeration DateAugust 27, 2024

NPPES CertifiedAugust 27, 2024

✔ NPI 1679307193 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers

Taxonomy Code101YA0400X

3390 N BERKELEY LAKE RD NW STE 100, Duluth, GA 30096

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Other Providers at the Same Location NPPES 3

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

SALIMA MCCOY MSW

Substance Abuse Rehabilitation Facility

3390 N BERKELEY LAKE RD NW STE 100
DULUTH, GA 30096

Gwinnett County (470) 327-8336

AMANDA JEANNE LEGG MS, ADC

Counselor

3390 N BERKELEY LAKE RD NW STE 100
DULUTH, GA 30096

Gwinnett County (470) 704-5050

MRS. STEPHANIE LAUREN DYAR

Counselor (Addiction (Substance Use Disorder))

3390 N BERKELEY LAKE RD NW STE 100
DULUTH, GA 30096

Gwinnett County (470) 704-5050

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 Costello's NPI number?

The NPI number for Kelly Costello is 1679307193. It was assigned to this individual provider in the NPPES registry on August 27, 2024.

Where is Kelly Costello located?

Kelly Costello practices at 3390 N Berkeley Lake Rd NW Ste 100, Duluth, GA 30096. The listed phone number is (470) 327-8336.

What is Kelly Costello's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Kelly Costello was last updated on August 27, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 23 months 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.