Active NPI
Mindful Momentum Counseling and Consulting LLC
- Clinical Social Worker
- Smyrna, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- MINDFUL MOMENTUM COUNSELING AND CONSULTING LLC
- Practice address
- 2475 Cobb Pkwy SE # 1012
Smyrna, GA 30080-3000 - Phone
- (678) 860-1778
- NPI assigned
- Apr 24, 2024
- Last updated
- Apr 25, 2024
- 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
- Hykeen Bailey, LCSW
- Title
- Founder/Owner
- Phone
- (678) 860-1778
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | NU | ||
| Clinical Social Worker | 1041C0700X | NU | Primary | |
| Community/Behavioral Health Agency | 251S00000X | NU |
Addresses
Primary practice location
2475 Cobb Pkwy SE # 1012
Smyrna, GA 30080-3000
Mailing address
2475 Cobb Pkwy SE # 1012
Smyrna, GA 30080-3000
Phone (678) 860-1778
National Provider Directory
National Provider DirectoryLocations
2475 Cobb Pkwy SE
Smyrna, GA 30080
Phone (678) 860-1778
2475 Cobb Pkwy SE
#1012
Smyrna, GA 30080
Phone (678) 860-1778
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Clinical Social Worker
- Smyrna, GA
- NPI 1801527932
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1713916800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714003200000",
"number": "1144076860",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 COBB PKWY SE # 1012",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300803000",
"telephone_number": "678-860-1778"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2475 COBB PKWY SE # 1012",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300803000",
"telephone_number": "678-860-1778"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MINDFUL MOMENTUM COUNSELING AND CONSULTING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-04-24",
"last_updated": "2024-04-25",
"certification_date": "2024-04-25",
"status": "A",
"authorized_official_last_name": "BAILEY",
"authorized_official_first_name": "HYKEEN",
"authorized_official_title_or_position": "FOUNDER/OWNER",
"authorized_official_telephone_number": "678-860-1778",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.