Organization Active NPI

White Diamond Counseling Consulting Coaching, LLC

Doing business as Terri L White

  • Professional Counselor
  • Lawrenceville, GA
National Provider Identifier
1093204000
Registry record updated May 4, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC008752 Issued in GA
Legal business name
WHITE DIAMOND COUNSELING CONSULTING COACHING, LLC
Doing business as
Terri L White
Practice address
230 S Culver St
Lawrenceville, GA 30046-4806
Phone
(678) 883-8609
NPI assigned
May 4, 2018
Last updated
May 4, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 4, 2018

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

Authorized official

Name
Terro L White, LPC
Title
Owner
Phone
(678) 883-8609

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC008752 GA Primary

Addresses

Primary practice location

230 S Culver St
Lawrenceville, GA 30046-4806

Mailing address

3932 Plymouth Rock Dr
Loganville, GA 30052-8712
Phone (678) 883-8609

Other identifiers 1

IdentifierTypeStateIssuer
003172353AMedicaidGA

Other names 1

  • Terri L White Doing business as

National Provider Directory

National Provider Directory

Locations

230 S Culver St
Lawrenceville, GA 30046
Phone (678) 883-8609

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": "1525392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1093204000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3932 PLYMOUTH ROCK DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300528712",
            "telephone_number": "678-883-8609"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "230 S CULVER ST",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464806",
            "telephone_number": "678-883-8609"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHITE DIAMOND COUNSELING CONSULTING COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-04",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "TERRO",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-883-8609",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008752",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003172353A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Terri L White",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 4, 2018; 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.