CP Specialized Services LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

CP SPECIALIZED SERVICES LLC

Practice address

251 River Park North Dr
Woodstock, GA 30188-7835

Phone

(678) 557-5996

NPI assigned

Jan 30, 2024

Last updated

Jan 30, 2024By 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

Colleen Pearl Panunzio, LPC, LMHCNPI 1821080102

Title

Provider

Phone

(678) 557-5996

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Colleen P Panunzio, MA,LPC

  • Counselor
  • Woodstock, GA
  • NPI 1821080102
  Authorized official Same address or phone

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

{
    "created_epoch": "1706572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706572800000",
    "number": "1205698636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "251 RIVER PARK NORTH DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887835",
            "telephone_number": "678-557-5996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "251 RIVER PARK NORTH DR",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301887835",
            "telephone_number": "678-557-5996"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3333 Clark Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Sarasota",
            "state": "FL",
            "postal_code": "342318437",
            "country_code": "US",
            "telephone_number": "678-557-5996",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CP SPECIALIZED SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-30",
        "last_updated": "2024-01-30",
        "certification_date": "2024-01-30",
        "status": "A",
        "authorized_official_last_name": "PANUNZIO",
        "authorized_official_first_name": "COLLEEN",
        "authorized_official_middle_name": "PEARL",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "678-557-5996",
        "authorized_official_credential": "LPC, LMHC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Mark Covington Jr., DDS
• Katie Bodycomb Covington, PA
• Hellana Cox, MSMFT
• Jerry Wayne Cox
• Tanaluk Pratheepratana Cox
• Bonnie Petrie Craemer, L.C.S.W
• Ann Kathryn Craig, PHARMD, BCPS
• Shelby Lynn Crane, PT, DPT
• Taylor Crawley
• Creative Pieces Behavior Associates

• Counselor in Woodstock, GA
• Providers in Woodstock, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2024; 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.