NPIMap

Organization Active NPI

Providence Counseling & Consulting, LLC

  • Professional Counselor
  • Athens, GA
National Provider Identifier
1003232133
Registry record updated Mar 13, 2014
On this page

Key facts

NPPES NPI Registry
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
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 13, 2014

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

Authorized official

Name
Mrs. Toawondia T Underwood, LPC
Title
Counselor
Phone
(404) 784-2585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC007336 GA Primary

Addresses

Primary practice location

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

Mailing address

500 N Milledge Ave
Suite 200
Athens, GA 30601-3810
Phone (404) 784-2585

National Provider Directory

National Provider Directory

Locations

500 N Milledge Ave
Ste 200
Athens, GA 30601
Phone (404) 784-2585

NPI Registry JSON

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": []
}

Other providers in Athens, GA

Sources for this page

  • 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.