Organization Active NPI

Mommie and Me Advocacy

  • Community/Behavioral Health Agency
  • McDonough, GA
National Provider Identifier
1154741973
Registry record updated Mar 18, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
MOMMIE AND ME ADVOCACY
Practice address
5031 Monarch Dr
McDonough, GA 30253-8649
Phone
(770) 648-3907
Fax
(770) 818-5430
NPI assigned
Apr 19, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2016

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

Authorized official

Name
Rachel Cooley, M.ED.
Title
Owner
Phone
(678) 296-9492

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X
Pastoral CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP1600X
Case Management Agency 251B00000X
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

5031 Monarch Dr
McDonough, GA 30253-8649

Mailing address

5031 Monarch Dr
McDonough, GA 30253-8649
Phone (770) 648-3907

Other names 1

  • Brown and Walker Academy LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1397865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458259200000",
    "number": "1154741973",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5031 MONARCH DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538649",
            "telephone_number": "770-648-3907",
            "fax_number": "770-818-5430"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5031 MONARCH DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538649",
            "telephone_number": "770-648-3907",
            "fax_number": "770-818-5430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOMMIE AND ME ADVOCACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-19",
        "last_updated": "2016-03-18",
        "status": "A",
        "authorized_official_last_name": "COOLEY",
        "authorized_official_first_name": "RACHEL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-296-9492",
        "authorized_official_credential": "M.ED."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Brown and Walker Academy LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2016; 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.