Organization Active NPI

Grace & Peace Christian Counseling & Consulting Services, LLC

  • Clinical Social Worker
  • McDonough, GA
National Provider Identifier
1174177323
Registry record updated Jul 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRACE & PEACE CHRISTIAN COUNSELING & CONSULTING SERVICES, LLC
Practice address
2020 Avalon Pkwy Ste 342
McDonough, GA 30253-3054
Phone
(770) 545-4998
NPI assigned
Jul 26, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2019

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

Authorized official

Name
Gracy Billingsley
Title
Licensed Clinical Social Worker
Phone
(770) 545-4998

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2020 Avalon Pkwy Ste 342
McDonough, GA 30253-3054

Mailing address

100 Post Master Dr, Unit 3482
McDonough, GA 30253

National Provider Directory

National Provider Directory

Locations

2020 Avalon Pkwy
Ste 342
McDonough, GA 30253
Phone (678) 210-6069

100 Postmaster Dr
Unit 3
McDonough, GA 30253

100 Postmaster Dr
Unit 3482
McDonough, GA 30253

NPI Registry JSON

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

{
    "created_epoch": "1564099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1564099200000",
    "number": "1174177323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 POST MASTER DR, UNIT 3482",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "30253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 AVALON PKWY STE 342",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533054",
            "telephone_number": "770-545-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE & PEACE CHRISTIAN COUNSELING & CONSULTING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-26",
        "last_updated": "2019-07-26",
        "status": "A",
        "authorized_official_last_name": "BILLINGSLEY",
        "authorized_official_first_name": "GRACY",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "770-545-4998"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 26, 2019; 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.