Flying Change

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

FLYING CHANGE

Practice address

4680 Polo LN SE
Atlanta, GA 30339-5346

Phone

(404) 512-0834

Fax

(770) 832-3969

NPI assigned

Dec 30, 2010

Organization subpart

No

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

Authorized official

Name

Ms. Lissa B Corcoran

Title

Executive Director

Phone

(404) 512-0834

Specialties & licenses 4

Addresses

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293667200000",
    "number": "1154625424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4680 POLO LN SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395346",
            "telephone_number": "404-512-0834",
            "fax_number": "770-832-3969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4680 POLO LN SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395346",
            "telephone_number": "404-512-0834",
            "fax_number": "770-832-3969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FLYING CHANGE",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2010-12-30",
        "status": "A",
        "authorized_official_last_name": "CORCORAN",
        "authorized_official_first_name": "LISSA",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-512-0834",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "103T00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Emilee Flynn, MD, MPH
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• Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2010; 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.