NPIMap

Organization Active NPI

Eclectics

  • Community/Behavioral Health Agency
  • Columbus, GA
National Provider Identifier
1225576796
Registry record updated Feb 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC009399 Issued in GA
Legal business name
ECLECTICS
Practice address
3846 Trask Dr
Columbus, GA 31903-2937
Phone
(706) 566-3169
NPI assigned
Feb 6, 2017
Last updated
Feb 6, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 6, 2017

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

Authorized official

Name
Mr. Alfonza Allen King, MS, LPCNPI 1386155430
Title
Ceo
Phone
(706) 566-3169

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
Community/Behavioral Health Agency 251S00000X LPC009399 GA Primary

Addresses

Primary practice location

3846 Trask Dr
Columbus, GA 31903-2937

Mailing address

3846 Trask Dr
Columbus, GA 31903-2937
Phone (706) 566-3169

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1486339200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1486339200000",
    "number": "1225576796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3846 TRASK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032937",
            "telephone_number": "706-566-3169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3846 TRASK DR",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319032937",
            "telephone_number": "706-566-3169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECLECTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-02-06",
        "last_updated": "2017-02-06",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "ALFONZA",
        "authorized_official_middle_name": "ALLEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-566-3169",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MS, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC009399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 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.