Prismatic Counseling of Georgia, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

PRISMATIC COUNSELING OF GEORGIA, LLC

Practice address

6175 Hickory Flat Hwy Ste 110-111
Canton, GA 30115-7207

Phone

(770) 286-1237

NPI assigned

Feb 20, 2023

Last updated

Mar 21, 2023By 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

Leah Epelbaum, LPCNPI 1033599279

Title

Psychotherapist

Phone

(770) 286-1237

Specialties & licenses 1

Addresses

Other names 2

• Leah Tamar, LLC Former legal business name
• Prismatic Counseling, LLC Former legal business name

Locations

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.

• Leah Epelbaum, LPC

  • Mental Health Counselor
  • Atlanta, GA
  • NPI 1033599279
  NPD (past) Authorized official

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679356800000",
    "number": "1225736317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6175 HICKORY FLAT HWY STE 110-111",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157207",
            "telephone_number": "404-216-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6175 HICKORY FLAT HWY STE 110-111",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301157207",
            "telephone_number": "770-286-1237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRISMATIC COUNSELING OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-03-21",
        "certification_date": "2023-03-21",
        "status": "A",
        "authorized_official_last_name": "EPELBAUM",
        "authorized_official_first_name": "LEAH",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "770-286-1237",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Leah Tamar, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Leah Tamar, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Prismatic Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Mental Health Counselor in Canton, GA
• Providers in Canton, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2023; 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.