Miracles Outreach International

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

MIRACLES OUTREACH INTERNATIONAL

Practice address

6825 Jimmy Carter Blvd Ste 1570B
Norcross, GA 30071-1215

Phone

(336) 744-6000

NPI assigned

Oct 20, 2020

Organization subpart

No

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

Authorized official

Name

Eyvette AbbottNPI 1811109549

Title

Ceo/ Counselor

Phone

(336) 473-9933

Specialties & licenses 3

Addresses

Practitioners 1

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

• Eyvette La'Chella Abbott

  • Addiction (Substance Use Disorder) Counselor
  • Winston Salem, NC
  • NPI 1811109549
  NPD Authorized official

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

{
    "created_epoch": "1603152000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1738713600000",
    "number": "1164021259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6825 JIMMY CARTER BLVD STE 1570B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711215",
            "telephone_number": "336-744-6000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6825 JIMMY CARTER BLVD STE 1570B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711215",
            "telephone_number": "336-744-6000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRACLES OUTREACH INTERNATIONAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-20",
        "last_updated": "2025-02-05",
        "certification_date": "2025-02-05",
        "status": "A",
        "authorized_official_last_name": "ABBOTT",
        "authorized_official_first_name": "EYVETTE",
        "authorized_official_title_or_position": "CEO/ COUNSELOR",
        "authorized_official_telephone_number": "336-473-9933"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP1600X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Pastoral",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Valerie Lynn Mius
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• Addiction (Substance Use Disorder) Counselor in Norcross, GA
• Providers in Norcross, GA by specialty
• Addiction (Substance Use Disorder) Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2025; 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.