Active NPI
Your Journey, Your Path LLC
- Clinical Social Worker
- East Point, GA
National Provider Identifier
1114269636
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- CSW004157
- Legal business name
- YOUR JOURNEY, YOUR PATH LLC
- Practice address
- 3401 Norman Berry Dr
East Point, GA 30344-5121 - Phone
- (404) 784-6958
- NPI assigned
- Mar 22, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Valerie Hughley
- Title
- Licensed Clinical Social Worker
- Phone
- (404) 784-6958
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | CSW004157 | GA | Primary |
Addresses
Primary practice location
3401 Norman Berry Dr
East Point, GA 30344-5121
Mailing address
4125 Sunrise TRL
College Park, GA 30349-2533
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1363910400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1426032000000",
"number": "1114269636",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4125 SUNRISE TRL",
"city": "COLLEGE PARK",
"state": "GA",
"postal_code": "303492533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 NORMAN BERRY DR",
"city": "EAST POINT",
"state": "GA",
"postal_code": "303445121",
"telephone_number": "404-784-6958"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "YOUR JOURNEY, YOUR PATH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-03-22",
"last_updated": "2015-03-11",
"status": "A",
"authorized_official_last_name": "HUGHLEY",
"authorized_official_first_name": "VALERIE",
"authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
"authorized_official_telephone_number": "404-784-6958"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "CSW004157",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in East Point, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.