Holistic Atlanta

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HOLISTIC ATLANTA

Practice address

6886 Main St
Stonecrest, GA 30058-4508

Phone

(404) 808-0870

Fax

(470) 201-1205

NPI assigned

Dec 29, 2020

Organization subpart

No

Name

Dr. Vaughn Gay, DSW, LPCNPI 1255846077

Title

Executive Director

Phone

(404) 808-0870

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

• Vaughn N. Gay, LPC

  • Mental Health Counselor
  • Lithonia, GA
  • NPI 1255846077
  NPD Authorized official
• Sierra Hillsman, LPC

  • Professional Counselor
  • Stonecrest, GA
  • NPI 1457934325

  Professional

  NPD

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Dec 29, 2020.

{
    "created_epoch": "1609200000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1609200000000",
    "number": "1124615737",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3247 ROCKVIEW DR STE A",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300383032",
            "telephone_number": "404-808-0870"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6886 MAIN ST",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300584508",
            "telephone_number": "404-808-0870",
            "fax_number": "470-201-1205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-29",
        "last_updated": "2020-12-29",
        "certification_date": "2020-12-29",
        "status": "A",
        "authorized_official_last_name": "GAY",
        "authorized_official_first_name": "VAUGHN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-808-0870",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DSW, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "163WP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251K00000X",
            "taxonomy_group": "",
            "desc": "Public Health or Welfare",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Adrianne Smiley Gurley
• Victoria-Loraine Hammond
• Colette Hemmings, DNP
• Sierra Hillsman, LPC
• Homestead Companion Care LLC
• Keshia Irving
• Laurel Jackson McClendon, LPC
• Tyna Carshella Jackson, BSN
• Chijiamara Kalu

• All providers in Stonecrest, GA
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 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.