Raven Counseling Services, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC004669 Issued in GA

Legal business name

RAVEN COUNSELING SERVICES, INC.

Practice address

867 Commerce Dr SW
Suite 200-400
Conyers, GA 30094-6604

Phone

(770) 679-4043

Fax

(770) 679-4915

NPI assigned

Sep 20, 2011

Last updated

Mar 5, 2015By 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

Cassandra E Conton, PH.D, LPCNPI 1932344645

Title

Ceo

Phone

(770) 679-4043

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.

• Cassandra Conton, LPC

  • Professional Counselor
  • Conyers, GA
  • NPI 1932344645
  Authorized official Same address or phone

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

{
    "created_epoch": "1316476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1425513600000",
    "number": "1043593791",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "867 COMMERCE DR SW",
            "address_2": "SUITE 200-400",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946604",
            "telephone_number": "770-679-4043",
            "fax_number": "770-679-4915"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "867 COMMERCE DR SW",
            "address_2": "SUITE 200-400",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946604",
            "telephone_number": "770-679-4043",
            "fax_number": "770-679-4915"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RAVEN COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-20",
        "last_updated": "2015-03-05",
        "status": "A",
        "authorized_official_last_name": "CONTON",
        "authorized_official_first_name": "CASSANDRA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-679-4043",
        "authorized_official_credential": "PH.D, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2015; 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.