Organization Active NPI

Middle Path Therapy, LLC

  • Mental Health Counselor
  • Brookhaven, GA
National Provider Identifier
1073014734
Registry record updated Jun 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
7465 Issued in GA
Legal business name
MIDDLE PATH THERAPY, LLC
Practice address
2801 Buford Hwy NE Ste 470
Brookhaven, GA 30329-2124
Phone
(404) 354-4026
NPI assigned
Feb 27, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2020

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

Authorized official

Name
Erin Hinek, LPC
Title
Co-Owner
Phone
(404) 354-4026

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 7465 GA Primary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 7784 GA

Addresses

Primary practice location

2801 Buford Hwy NE Ste 470
Brookhaven, GA 30329-2124

Mailing address

209B Swanton Way Ste 204
Decatur, GA 30030-3271

National Provider Directory

National Provider Directory

Locations

2801 Buford Hwy NE
Ste 470
Brookhaven, GA 30329
Phone (404) 242-5553

NPI Registry JSON

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

{
    "created_epoch": "1519689600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591315200000",
    "number": "1073014734",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209B SWANTON WAY STE 204",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2801 BUFORD HWY NE STE 470",
            "city": "BROOKHAVEN",
            "state": "GA",
            "postal_code": "303292124",
            "telephone_number": "404-354-4026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDDLE PATH THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-27",
        "last_updated": "2020-06-05",
        "certification_date": "2020-06-05",
        "status": "A",
        "authorized_official_last_name": "HINEK",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "404-354-4026",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "7465",
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "7784",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Brookhaven, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2020; 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.