Organization Active NPI

Southeastern Counseling, LLC

  • Clinical Social Worker
  • Hinesville, GA
National Provider Identifier
1093396517
Registry record updated Mar 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SOUTHEASTERN COUNSELING, LLC
Practice address
710 Eden LN
Hinesville, GA 31313-3840
Phone
(404) 772-1675
NPI assigned
Apr 16, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2025

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

Authorized official

Name
Shaina Henry, LCSWNPI 1528565033
Title
Co Owner
Phone
(404) 772-1675

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
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

710 Eden LN
Hinesville, GA 31313-3840

Mailing address

710 Eden LN
Hinesville, GA 31313-3840
Phone (912) 549-3578

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address contact@secounselingllc.com Direct

National Provider Directory

National Provider Directory

Locations

3050 Five Forks Trickum Rd SW
Ste D626
Lilburn, GA 30047
Phone (404) 576-8227

3050 Five Forks Trickum Rd SW
#D626
Lilburn, GA 30047

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1618531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741305600000",
    "number": "1093396517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 EDEN LN",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133840",
            "telephone_number": "912-549-3578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 EDEN LN",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313133840",
            "telephone_number": "404-772-1675"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-16",
        "last_updated": "2025-03-07",
        "certification_date": "2025-03-07",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "SHAINA",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "404-772-1675",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "contact@secounselingllc.com",
            "affiliation": "N",
            "endpointDescription": "Secure Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "710 Eden Ln",
            "city": "Hinesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "313133840",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2025; 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.