Laser Counseling SVCS LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

LASER COUNSELING SVCS LLC

Practice address

2070 Buford Hwy
Suite 2D
Burford, GA 30518

Phone

(770) 271-9442

Fax

(770) 271-8939

NPI assigned

May 9, 2007

Organization subpart

No

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

Authorized official

Name

Mrs. Lisa Pope Campbell, LCSWNPI 1285840652

Title

Co Owner

Phone

(770) 271-9442

Specialties & licenses 1

Addresses

Tax ID family

Lanier Counseling Services LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Lanier Counseling Services, LLC

  • Marriage & Family Therapist
  • Buford, GA
  • NPI 1740498369
  NPD tax ID

Locations

Practitioners 2

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

• Lisa Pope Campbell, LCSW

  • Marriage & Family Therapist
  • Buford, GA
  • NPI 1285840652
  NPD (past) Authorized official
• Mary Linda Ellis, L.P.C.

  • Professional Counselor
  • Buford, GA
  • NPI 1003964131
  NPD (past)

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

{
    "created_epoch": "1178668800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213660800000",
    "number": "1164636296",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2070 BUFORD HWY",
            "address_2": "SUITE 2D",
            "city": "BURFORD",
            "state": "GA",
            "postal_code": "30518",
            "telephone_number": "770-271-9442",
            "fax_number": "770-271-8939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2070 BUFORD HWY",
            "address_2": "SUITE 2D",
            "city": "BURFORD",
            "state": "GA",
            "postal_code": "30518",
            "telephone_number": "770-271-9442",
            "fax_number": "770-271-8939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LASER COUNSELING SVCS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-09",
        "last_updated": "2008-06-17",
        "status": "A",
        "authorized_official_last_name": "CAMPBELL",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "POPE",
        "authorized_official_title_or_position": "CO OWNER",
        "authorized_official_telephone_number": "770-271-9442",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 17, 2008; 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.