Ironwood Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC001422 Issued in GA

Legal business name

IRONWOOD COUNSELING LLC

Practice address

110 Evans Mill Dr
Dallas, GA 30157-1622

Phone

(770) 558-7629

Fax

(404) 321-9246

NPI assigned

Jun 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Brian K Fujii, LPC

Title

Owner

Phone

(770) 558-7629

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1435276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1435276800000",
    "number": "1245612191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571622",
            "telephone_number": "770-558-7629",
            "fax_number": "404-321-9246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 EVANS MILL DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301571622",
            "telephone_number": "770-558-7629",
            "fax_number": "404-321-9246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IRONWOOD COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-26",
        "last_updated": "2015-06-26",
        "status": "A",
        "authorized_official_last_name": "FUJII",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-558-7629",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC001422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Independent Physical Therapy of Ga, LLC
• Independent Physical Therapy of Ga, LLC
• Kara Ingram
• Tyrese Malik Ingram
• Integrate2 Physical Therapy LLC
• It Is Well Healthcare, LLC
• It Is Well Healthcare, LLC
• Ivanna Homecare
• Jack F Bickford, DDS, PC
• Armoni Kylia Jackson, RBT

• Professional Counselor in Dallas, GA
• Providers in Dallas, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2015; 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.