Organization Active NPI

Anxiety Counseling Services of Ga LLC

  • Professional Counselor
  • Woodstock, GA
National Provider Identifier
1073249777
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
ANXIETY COUNSELING SERVICES OF GA LLC
Practice address
1025 Rose Creek Dr Ste 620-270
Woodstock, GA 30189-6797
Phone
(404) 907-3868
NPI assigned
Jul 26, 2022
Last updated
Jul 26, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Mrs. Stephanie F Bradley, LPCNPI 1396137196
Title
Owner
Phone
(404) 907-3868

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X NU Primary

Addresses

Primary practice location

1025 Rose Creek Dr Ste 620-270
Woodstock, GA 30189-6797

Mailing address

1025 Rose Creek Dr Ste 620-270
Woodstock, GA 30189-6797
Phone (404) 907-3868

National Provider Directory

National Provider Directory

Locations

1025 Rose Creek Dr
Ste 620270
Woodstock, GA 30189
Phone (404) 907-3868

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": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1073249777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1025 ROSE CREEK DR STE 620-270",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896797",
            "telephone_number": "404-907-3868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1025 ROSE CREEK DR STE 620-270",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301896797",
            "telephone_number": "404-907-3868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ANXIETY COUNSELING SERVICES OF GA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A",
        "authorized_official_last_name": "BRADLEY",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-907-3868",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Woodstock, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.