NPIMap

Organization Active NPI

Georgia DBT, LLC

  • Professional Counselor
  • Monroe, GA
National Provider Identifier
1053833111
Registry record updated Jul 11, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
GEORGIA DBT, LLC
Practice address
333 Alcovy St Ste 6
Monroe, GA 30655-2180
Phone
(404) 839-0011
Fax
(888) 533-7063
NPI assigned
Jul 11, 2017
Last updated
Jul 11, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 11, 2017

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

Authorized official

Name
Elyssa Reid, LPC
Title
Owner
Phone
(404) 839-0011

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X GA Primary

Addresses

Primary practice location

333 Alcovy St Ste 6
Monroe, GA 30655-2180

Mailing address

PO Box 1332
Dacula, GA 30019-0023
Phone (404) 839-0011

National Provider Directory

National Provider Directory

Locations

333 Alcovy St
Ste 6
Monroe, GA 30655
Phone (678) 635-8127

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1499731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1499731200000",
    "number": "1053833111",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1332",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300190023",
            "telephone_number": "404-839-0011",
            "fax_number": "888-533-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 ALCOVY ST STE 6",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306552180",
            "telephone_number": "404-839-0011",
            "fax_number": "888-533-7063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA DBT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-11",
        "last_updated": "2017-07-11",
        "status": "A",
        "authorized_official_last_name": "REID",
        "authorized_official_first_name": "ELYSSA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-839-0011",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2017; 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.