Foster, Keely Rochandaley
Foster, Keely Rochandaley is an sole proprietor health care provider with primary practice located at 3006 Clairmont Rd Ne Ste 107 , Brookhaven GA 30329-1602. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Foster, Keely Rochandaley can be contacted via phone (678) 302-1945.Contact Information
Primary practice address
3006 Clairmont Rd Ne Ste 107
Brookhaven GA 30329-1602
Phone: (678) 302-1945
Fax: (404) 601-1386
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 2638 | Georgia |
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC2638 | Georgia |
Profile Details
| NPI number | 1720181753 |
|---|---|
| LBN Legal business name | Foster, Keely Rochandaley |
| Credentials | Licensed Professional Counselor (LPC) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 6th, 2006 |
| Last updated | Jul 9th, 2025 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720181753 | NPPES |
| Georgia | MEDICAID | 909054024B |
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