Georgia Counseling and Rehabilitation Services, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

GEORGIA COUNSELING AND REHABILITATION SERVICES, LLC

Practice address

125 Commerce Cir
Fayetteville, GA 30214-1303

Phone

(470) 278-5830

NPI assigned

Oct 3, 2023

Organization subpart

No

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

Authorized official

Name

Frandee Dunmore, LPC

Title

Owner

Phone

(470) 278-5830

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1696291200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697068800000",
    "number": "1295515625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 143271",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302146529",
            "telephone_number": "470-278-5830"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 COMMERCE CIR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302141303",
            "telephone_number": "470-278-5830"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA COUNSELING AND REHABILITATION SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-03",
        "last_updated": "2023-10-12",
        "certification_date": "2023-10-12",
        "status": "A",
        "authorized_official_last_name": "DUNMORE",
        "authorized_official_first_name": "FRANDEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-278-5830",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 12, 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.