Provider Demographics
NPI:1942035340
Name:FLEITAS, KARLI (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:KARLI
Middle Name:
Last Name:FLEITAS
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1425 MARKET BLVD. STE 530
Mailing Address - Street 2:PMB 25
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30076
Mailing Address - Country:US
Mailing Address - Phone:239-770-7680
Mailing Address - Fax:
Practice Address - Street 1:1280 ROSWELL MANOR CIR
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30076-2362
Practice Address - Country:US
Practice Address - Phone:239-770-7680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-04
Last Update Date:2024-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY015103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health