Active NPI
Door of the Soul, LLC
- Professional Counselor
- Roswell, GA
National Provider Identifier
1174070544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 006204
- Legal business name
- DOOR OF THE SOUL, LLC
- Practice address
- 1014 Canton St
Roswell, GA 30075-3615 - Phone
- (770) 366-2991
- NPI assigned
- Sep 2, 2016
- Last updated
- Sep 2, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Christina C Plaice, LPC, NCC, CCT
- Title
- Owner & Psychotherapist
- Phone
- (770) 366-2991
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 006204 | GA | Primary |
Addresses
Primary practice location
1014 Canton St
Roswell, GA 30075-3615
Mailing address
1014 Canton St
Roswell, GA 30075-3615
Phone (770) 366-2991
National Provider Directory
National Provider DirectoryLocations
1014 Canton St
Roswell, GA 30075
Phone (770) 366-2991
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Professional Counselor
- Roswell, GA
- NPI 1740640887
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472774400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1472774400000",
"number": "1174070544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1014 CANTON ST",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753615",
"telephone_number": "770-366-2991"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1014 CANTON ST",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300753615",
"telephone_number": "770-366-2991"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOOR OF THE SOUL, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-09-02",
"last_updated": "2016-09-02",
"status": "A",
"authorized_official_last_name": "PLAICE",
"authorized_official_first_name": "CHRISTINA",
"authorized_official_middle_name": "C",
"authorized_official_title_or_position": "OWNER & PSYCHOTHERAPIST",
"authorized_official_telephone_number": "770-366-2991",
"authorized_official_credential": "LPC, NCC, CCT"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "006204",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 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.