Step in Faith Management Services of Georgia, Inc

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

STEP IN FAITH MANAGEMENT SERVICES OF GEORGIA, INC

Practice address

1018 Hambrick Rd
Stone Mountain, GA 30083-2479

Phone

(708) 238-3044

NPI assigned

Nov 7, 2013

Last updated

Nov 7, 2013By 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

Mr. Larry Jenkins

Title

Billing Manager

Phone

(312) 953-0547

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1383782400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1383782400000",
    "number": "1275962417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1018 HAMBRICK RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1018 HAMBRICK RD",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300832479",
            "telephone_number": "708-238-3044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEP IN FAITH MANAGEMENT SERVICES OF GEORGIA, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-07",
        "last_updated": "2013-11-07",
        "status": "A",
        "authorized_official_last_name": "JENKINS",
        "authorized_official_first_name": "LARRY",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "312-953-0547",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Group Psychotherapy Psychologist in Stone Mountain, GA
• Providers in Stone Mountain, GA by specialty
• Group Psychotherapy Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2013; 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.