NPIMap

Organization Active NPI

Emanuel Counseling Services, Inc

  • Addiction Medicine (Internal Medicine) Physician
  • Swainsboro, GA
National Provider Identifier
1245748771
Registry record updated May 13, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction Medicine (Internal Medicine) PhysicianTaxonomy code 207RA0401X
License
36774 Issued in GA
Legal business name
EMANUEL COUNSELING SERVICES, INC
Practice address
105 Warren Ave
Swainsboro, GA 30401-3645
Phone
(478) 289-8147
Fax
(478) 289-8148
NPI assigned
Jan 18, 2018
Last updated
May 13, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2019

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

Authorized official

Name
Dehia Cochran, LPC
Title
President
Phone
(478) 289-8147

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction Medicine (Internal Medicine) Physician 207RA0401X 36774 GA Primary

Addresses

Primary practice location

105 Warren Ave
Swainsboro, GA 30401-3645

Mailing address

105 Warren Ave
Swainsboro, GA 30401-3645
Phone (478) 289-8147

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": "1516233600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557705600000",
    "number": "1245748771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 WARREN AVE",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013645",
            "telephone_number": "478-289-8147",
            "fax_number": "478-289-8148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 WARREN AVE",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013645",
            "telephone_number": "478-289-8147",
            "fax_number": "478-289-8148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMANUEL COUNSELING SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-18",
        "last_updated": "2019-05-13",
        "status": "A",
        "authorized_official_last_name": "COCHRAN",
        "authorized_official_first_name": "DEHIA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "478-289-8147",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "207RA0401X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Addiction Medicine",
            "state": "GA",
            "license": "36774",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Swainsboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2019; 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.