Organization Active NPI

Your Journey, Your Path LLC

  • Clinical Social Worker
  • East Point, GA
National Provider Identifier
1114269636
Registry record updated Mar 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
CSW004157 Issued in GA
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

Updated by the provider on Mar 11, 2015

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

NPI 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.

Verify at the official NPI Registry.