Providence Counseling & Consulting, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC007336 Issued in GA

Legal business name

PROVIDENCE COUNSELING & CONSULTING, LLC

Practice address

500 N Milledge Ave
Suite 200
Athens, GA 30601-3810

Phone

(404) 784-2585

Fax

(844) 878-9987

NPI assigned

Mar 13, 2014

Last updated

Mar 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Toawondia T Underwood, LPCNPI 1386066686

Title

Counselor

Phone

(404) 784-2585

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Toawondia T. Underwood, LPC

  • Professional Counselor
  • Athens, GA
  • NPI 1386066686
  Authorized official Same address or phone

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

{
    "created_epoch": "1394668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1394668800000",
    "number": "1003232133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MILLEDGE AVE",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013810",
            "telephone_number": "404-784-2585"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MILLEDGE AVE",
            "address_2": "SUITE 200",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306013810",
            "telephone_number": "404-784-2585",
            "fax_number": "844-878-9987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROVIDENCE COUNSELING & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-13",
        "last_updated": "2014-03-13",
        "status": "A",
        "authorized_official_last_name": "UNDERWOOD",
        "authorized_official_first_name": "TOAWONDIA",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "404-784-2585",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC007336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 13, 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.