Causey Duboise Campbell

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

04181508R2 Issued in GA

Legal business name

CAUSEY DUBOISE CAMPBELL

Practice address

1430 Bouldercrest Rd SE
Atlanta, GA 30316-3503

Phone

(404) 437-0754

Fax

(866) 239-8271

NPI assigned

Aug 11, 2015

Last updated

Aug 11, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Hettie Jean Duboise, M.A.

Title

Paracletos Counseling Specialist

Phone

(404) 437-0754

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1174999338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 BOULDERCREST RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163503",
            "telephone_number": "404-437-0754",
            "fax_number": "866-239-8271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 BOULDERCREST RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303163503",
            "telephone_number": "404-437-0754",
            "fax_number": "866-239-8271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CAUSEY DUBOISE CAMPBELL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "DUBOISE",
        "authorized_official_first_name": "HETTIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "PARACLETOS COUNSELING SPECIALIST",
        "authorized_official_telephone_number": "404-437-0754",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "04181508R2",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Isabella Grace Cavagna
• Sara Rachel Cavazos, NP

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.