NPIMap

Organization Active NPI

Dallas Family Counseling Center

  • Marriage & Family Therapist
  • Dallas, GA
National Provider Identifier
1093857419
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
888 Issued in GA
Legal business name
DALLAS FAMILY COUNSELING CENTER
Practice address
110 Evans Mill Dr
Suite 305
Dallas, GA 30157-1622
Phone
(770) 445-6358
Fax
(770) 445-7262
NPI assigned
Feb 13, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Dr. Mark Stephen Wolfe, PH.D
Title
Owner-Director
Phone
(770) 445-6358

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 106H00000X 888 GA Primary

Addresses

Primary practice location

110 Evans Mill Dr
Suite 305
Dallas, GA 30157-1622

Mailing address

110 Evans Mill Dr
Suite 305
Dallas, GA 30157-1622
Phone (770) 445-6358

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1093857419",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571622",
            "telephone_number": "770-445-6358",
            "fax_number": "770-445-7262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR",
            "address_2": "SUITE 305",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571622",
            "telephone_number": "770-445-6358",
            "fax_number": "770-445-7262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLAS FAMILY COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WOLFE",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "STEPHEN",
        "authorized_official_title_or_position": "OWNER-DIRECTOR",
        "authorized_official_telephone_number": "770-445-6358",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.