Chris Mayo Counseling and Psychotherapy, LCSW, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004196 Issued in GA

Legal business name

CHRIS MAYO COUNSELING AND PSYCHOTHERAPY, LCSW, LLC

Practice address

135 Milford Dr
Athens, GA 30605

Phone

(706) 714-9635

NPI assigned

Jan 15, 2010

Last updated

Jan 15, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. William Christopher Mayo, LCSW

Title

Psychotherapist

Phone

(706) 714-9635

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1263513600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1263513600000",
    "number": "1154652071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MILFORD DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306054482",
            "telephone_number": "706-714-9635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MILFORD DR",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "30605",
            "telephone_number": "706-714-9635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRIS MAYO COUNSELING AND PSYCHOTHERAPY, LCSW, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-15",
        "last_updated": "2010-01-15",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "706-714-9635",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004196",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lee Chisolm, MD
• Haley Gaines Chitwood, DNP, APRN, FNP-C
• Christin Cho, PHARMD
• Paul Cho, DMD, MD
• Chris Malone, MD (Athens Vein & Thoracic Specialists)
• Christopher E. Doerr, D.O., P.C. (Athens Neuro & Balance Rehabilitation)
• Carla M Christopher, LPN
• Ross Tumlin Christopher, MD
• Dae Guang Chung Kim
• Lindsey Cicalese, BCBA

• Clinical Social Worker in Athens, GA
• Providers in Athens, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 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.