Epic Consulting Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSW004994 Issued in GA

Legal business name

EPIC CONSULTING SERVICES, LLC

Practice address

913 Main St
Suite F
Stone Mountain, GA 30083-3096

Phone

(404) 447-6007

NPI assigned

Aug 7, 2014

Organization subpart

No

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

Authorized official

Name

Tequilla Janisse Pittman

Title

Ceo

Phone

(404) 447-6007

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1407369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407369600000",
    "number": "1003225640",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "913 MAIN ST",
            "address_2": "SUITE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833096",
            "telephone_number": "404-447-6007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "913 MAIN ST",
            "address_2": "SUITE F",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833096",
            "telephone_number": "404-447-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EPIC CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-07",
        "last_updated": "2014-08-07",
        "status": "A",
        "authorized_official_last_name": "PITTMAN",
        "authorized_official_first_name": "TEQUILLA",
        "authorized_official_middle_name": "JANISSE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-447-6007"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW004994",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2014; 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.