Organization Active NPI

Practical Guidance & Psychtherapy Inc.

  • Mental Health Counselor
  • Stone Mountain, GA
National Provider Identifier
1003072703
Registry record updated Aug 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
003303LPC Issued in GA
Legal business name
PRACTICAL GUIDANCE & PSYCHTHERAPY INC.
Practice address
747 Lauren Pkwy
Stone Mountain, GA 30083-3483
Phone
(678) 576-3824
NPI assigned
Aug 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Carla D Hawkins, LPCNPI 1003827627
Title
Owner
Phone
(678) 576-3824

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 003303LPC GA Primary

Addresses

Primary practice location

747 Lauren Pkwy
Stone Mountain, GA 30083-3483

Mailing address

747 Lauren Pkwy
Stone Mountain, GA 30083-3483
Phone (678) 576-3824

Other identifiers 1

IdentifierTypeStateIssuer
205339263AMedicaidGA

National Provider Directory

National Provider Directory

Locations

747 Lauren Pkwy
Stone Mountain, GA 30083
Phone (678) 576-3824

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1217548800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1217548800000",
    "number": "1003072703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "747 LAUREN PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833483",
            "telephone_number": "678-576-3824"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "747 LAUREN PKWY",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833483",
            "telephone_number": "678-576-3824"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRACTICAL GUIDANCE & PSYCHTHERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-01",
        "last_updated": "2008-08-01",
        "status": "A",
        "authorized_official_last_name": "HAWKINS",
        "authorized_official_first_name": "CARLA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-576-3824",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "003303LPC",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205339263A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.