Douglas Counseling, Coaching, & Consulting, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

DOUGLAS COUNSELING, COACHING, & CONSULTING, LLC

Practice address

1665 Village Place Cir NE
Conyers, GA 30012-7109

Phone

(706) 519-3030

NPI assigned

Jun 14, 2022

Organization subpart

No

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

Authorized official

Name

Torry Darnell Douglas

Title

Account & Office Manager

Phone

(470) 331-4654

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 3

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

• Tyneisha Donisha Douglas, CLINICAL SOCIAL WORK

  • Clinical Social Worker
  • Conyers, GA
  • NPI 1841683737
  NPD
• Brittne Luke, LMSW

  • Clinical Social Worker
  • Conyers, GA
  • NPI 1164242459
  NPD
• Sheena Shanell Kelly, LPC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1578292546
  NPD (past)

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

{
    "created_epoch": "1655164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655164800000",
    "number": "1003546904",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2274 SALEM RD SE STE 106-1409",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132097",
            "telephone_number": "470-331-4654"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1665 VILLAGE PLACE CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300127109",
            "telephone_number": "706-519-3030"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS COUNSELING, COACHING, & CONSULTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-14",
        "last_updated": "2022-06-14",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "DOUGLAS",
        "authorized_official_first_name": "TORRY",
        "authorized_official_middle_name": "DARNELL",
        "authorized_official_title_or_position": "ACCOUNT & OFFICE MANAGER",
        "authorized_official_telephone_number": "470-331-4654"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPPES",
            "identifier": "1841683737",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey C. Dodson, D.D.S.
• Dora Patricia Dominguez Diaz, MD
• Daniel M Donato, MD
• Erika Dorsey, NP
• Douglas B. Torbush Ddspc
• Lisa Douglas, PHARM.D.
• Tyneisha Donisha Douglas, CLINICAL SOCIAL WORK
• Deirdre Dolan Douglass, P.T.
• Jamyah Douglass
• Phyllis Burr Dove-Edwin

• Clinical Social Worker in Conyers, GA
• Providers in Conyers, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2022; 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.