Active NPI
Grace & Peace Christian Counseling & Consulting Services, LLC
- Clinical Social Worker
- McDonough, GA
National Provider Identifier
1174177323
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 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 DirectoryLocations
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.