Groundbreaking Guidance Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

GROUNDBREAKING GUIDANCE SERVICES, LLC

Practice address

500 Sun Valley Dr Ste G3
Roswell, GA 30076-5639

Phone

(770) 910-9162

Fax

(770) 910-9768

NPI assigned

Sep 14, 2020

Last updated

Sep 16, 2020By 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

Eboni R. Meeks, LPC

Title

Owner/Clinician

Phone

(770) 910-9162

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 3

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.

• Shalonda Jackson

  • Mental Health Counselor
  • Roswell, GA
  • NPI 1689368946
  NPD
• Lajour Lamisha Moore-Carroll, NCC,LAPC

  • Professional Counselor
  • Roswell, GA
  • NPI 1386212579
  NPD
• Eboni R. Mormant, LPC

  • Professional Counselor
  • Roswell, GA
  • NPI 1184963357
  NPD

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

{
    "created_epoch": "1600041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600214400000",
    "number": "1194330449",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE G3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765639",
            "telephone_number": "770-910-9162",
            "fax_number": "770-910-9768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 SUN VALLEY DR STE G3",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765639",
            "telephone_number": "770-910-9162",
            "fax_number": "770-910-9768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROUNDBREAKING GUIDANCE SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-14",
        "last_updated": "2020-09-16",
        "certification_date": "2020-09-16",
        "status": "A",
        "authorized_official_last_name": "MEEKS",
        "authorized_official_first_name": "EBONI",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "OWNER/CLINICIAN",
        "authorized_official_telephone_number": "770-910-9162",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE INSURANCE",
            "identifier": "1184963357",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184963357",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kerri Owens Grimsley
• Grisham Associates, LTD.
• Joanna W. Grisham, PH.D.
• Benjamin Grodin, MD
• Dana Grooms, MS, CCC-SLP
• Guardian Home Care, LLC (AccentCare Home Health of Georgia)
• Guardian Personal Care Services of Georgia LLC (AccentCare Personal Care Services of Georgia)
• Suzanne H Gudakunst, DC
• Kristen Elise Gue, PA-C
• Jose Guevara, D.C.

• Mental Health Clinic/Center (Including Community Mental Health Center) in Roswell, GA
• Providers in Roswell, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2020; 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.