Crossway Counseling Center, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC4440 Issued in GA

Legal business name

CROSSWAY COUNSELING CENTER, LLC

Practice address

440 Racetrack Rd
McDonough, GA 30252-6837

Phone

(678) 858-2640

NPI assigned

Dec 10, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Pamela G McMichen, EDS, LPC

Title

Owner

Phone

(678) 858-2640

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1418169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1418169600000",
    "number": "1124426903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "440 RACETRACK RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526837",
            "telephone_number": "678-858-2640"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "440 RACETRACK RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302526837",
            "telephone_number": "678-858-2640"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSSWAY COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-10",
        "last_updated": "2014-12-10",
        "status": "A",
        "authorized_official_last_name": "MCMICHEN",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-858-2640",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "EDS, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC4440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in McDonough, GA
• Providers in McDonough, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2014; 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.