Orlando Counseling & Supervision, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ORLANDO COUNSELING & SUPERVISION, LLC

Practice address

5399 N Peachtree Rd
Atlanta, GA 30338-3101

Phone

(678) 477-8747

NPI assigned

Apr 17, 2023

Organization subpart

No

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

Authorized official

Name

Mr. Douglass Hart Paul, LPC, LMHC, LCPC

Title

Owner/Operator

Phone

(678) 477-8747

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1681689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681689600000",
    "number": "1043906662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5399 N PEACHTREE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383101",
            "telephone_number": "678-477-8747"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5399 N PEACHTREE RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303383101",
            "telephone_number": "678-477-8747"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORLANDO COUNSELING & SUPERVISION, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-17",
        "last_updated": "2023-04-17",
        "certification_date": "2023-04-16",
        "status": "A",
        "authorized_official_last_name": "PAUL",
        "authorized_official_first_name": "DOUGLASS",
        "authorized_official_middle_name": "HART",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "678-477-8747",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC, LMHC, LCPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Clinic/Center (Including Community Mental Health Center) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2023; 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.