Organization Active NPI

Family and Forensic Intervention Counseling Services

  • Professional Counselor
  • Douglasville, GA
National Provider Identifier
1194158097
Registry record updated Oct 26, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC006430 Issued in GA
Legal business name
FAMILY AND FORENSIC INTERVENTION COUNSELING SERVICES
Practice address
7421 Douglas Blvd Ste 239
Douglasville, GA 30135-1564
Phone
(678) 448-8913
Fax
(678) 669-2594
NPI assigned
Aug 14, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2017

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

Authorized official

Name
Dr. Joy S MosesNPI 1083055446
Title
Therapist/Ceo
Phone
(404) 731-6333

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X LPC006430 GA Primary

Addresses

Primary practice location

7421 Douglas Blvd Ste 239
Douglasville, GA 30135-1564

Mailing address

7421 Douglas Blvd Ste 239
Douglasville, GA 30135-1564
Phone (404) 731-6333

National Provider Directory

National Provider Directory

Locations

7421 Douglas Blvd
Ste 239
Douglasville, GA 30135
Phone (678) 448-8913

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1376438400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1508976000000",
    "number": "1194158097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 DOUGLAS BLVD STE 239",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351564",
            "telephone_number": "404-731-6333",
            "fax_number": "678-348-7148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 DOUGLAS BLVD STE 239",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351564",
            "telephone_number": "678-448-8913",
            "fax_number": "678-669-2594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY AND FORENSIC INTERVENTION COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-14",
        "last_updated": "2017-10-26",
        "status": "A",
        "authorized_official_last_name": "MOSES",
        "authorized_official_first_name": "JOY",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "THERAPIST/CEO",
        "authorized_official_telephone_number": "404-731-6333",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006430",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2017; 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.