Organization · NPI-2

Kristy M. Ledford, LLC

Clinic/Center, Mental Health (Including Community Mental Health Center) · Evans, GA

NPI number1114858099
StatusActive
Last updated in NPPESJun 2, 2026

Details

NPI
1114858099
Entity type
Organization (NPI-2)
Legal business name
Kristy M. Ledford, LLC
Organization subpart
No
Enumeration date
May 28, 2026
Certification date
Jun 2, 2026
Last updated
Jun 2, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QM0801X Clinic/Center, Mental Health (Including Community Mental Health Center)––Yes

Practice location

601 N Belair Sq Ste 5
Evans, GA 30809-4322

Phone 619-762-0167

Mailing address

1916 Preservation Cir
Evans, GA 30809-0687

Authorized official

Kristy Ledford
Owner/Psychotherapist
6197620167

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