Peachtree Art Therapy and Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

006281 Issued in GA

Legal business name

PEACHTREE ART THERAPY AND COUNSELING

Practice address

1708 Peachtree St NW
204
Atlanta, GA 30309-2434

Phone

(678) 222-2987

NPI assigned

Nov 15, 2016

Last updated

Nov 15, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jean Fraser Mills, MA

Title

Psychotherapist

Phone

(404) 245-0627

Specialties & licenses 1

Addresses

Tax ID family

Peachtree and Counseling LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Peachtree and Counseling, LLC

  • Community/Behavioral Health Agency
  • Atlanta, GA
  • NPI 1831640671
  NPD tax ID

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

{
    "created_epoch": "1479168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479168000000",
    "number": "1083156590",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 MARTINA DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052737"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1708 PEACHTREE ST NW",
            "address_2": "204",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303092434",
            "telephone_number": "678-222-2987"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE ART THERAPY AND COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-15",
        "last_updated": "2016-11-15",
        "status": "A",
        "authorized_official_last_name": "MILLS",
        "authorized_official_first_name": "JEAN",
        "authorized_official_middle_name": "FRASER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-245-0627",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "006281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.