Organization Active NPI

Louis F. Boynton II Psychotherapy LLC

  • Counseling Psychologist
  • Newnan, GA
National Provider Identifier
1073962536
Registry record updated Jun 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
LPC006747 Issued in GA
Legal business name
LOUIS F. BOYNTON II PSYCHOTHERAPY LLC
Practice address
15 Temple Ave
Newnan, GA 30263-2022
Phone
(470) 215-0167
Fax
(678) 525-9830
NPI assigned
Jun 6, 2016
Last updated
Jun 7, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 7, 2016

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

Authorized official

Name
Dr. Louis Fuertes Boynton II, PHD
Title
Psychotherapist/Ceo
Phone
(678) 525-9830

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counseling Psychologist 103TC1900X LPC006747 GA Primary

Addresses

Primary practice location

15 Temple Ave
Newnan, GA 30263-2022

Mailing address

15 Temple Ave
Newnan, GA 30263-2022
Phone (470) 215-0167

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1465171200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1465257600000",
    "number": "1073962536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 TEMPLE AVE",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632022",
            "telephone_number": "470-215-0167",
            "fax_number": "678-525-9830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15 TEMPLE AVE",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302632022",
            "telephone_number": "470-215-0167",
            "fax_number": "678-525-9830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOUIS F. BOYNTON II PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-06",
        "last_updated": "2016-06-07",
        "status": "A",
        "authorized_official_last_name": "BOYNTON",
        "authorized_official_first_name": "LOUIS",
        "authorized_official_middle_name": "FUERTES",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST/CEO",
        "authorized_official_telephone_number": "678-525-9830",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "LPC006747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2016; 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.