Organization Active NPI

Meadow Cove Counseling, LLC

  • Community/Behavioral Health Agency
  • Marietta, GA
National Provider Identifier
1306256664
Registry record updated May 7, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
CSW005052 Issued in GA
Legal business name
MEADOW COVE COUNSELING, LLC
Practice address
4343 Shallowford Rd
Suite E-1
Marietta, GA 30062-5023
Phone
(404) 989-4320
Fax
(678) 695-3844
NPI assigned
May 7, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2014

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

Authorized official

Name
Mr. Christopher Hinds, LCSW, ACSW
Title
Owner
Phone
(404) 989-4320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X CSW005052 GA Primary

Addresses

Primary practice location

4343 Shallowford Rd
Suite E-1
Marietta, GA 30062-5023

Mailing address

4343 Shallowford Rd
Suite E-1
Marietta, GA 30062-5023
Phone (404) 989-4320

National Provider Directory

National Provider Directory

Locations

4343 Shallowford Rd
Ste E1
Marietta, GA 30062
Phone (678) 237-1827

NPI Registry JSON

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

{
    "created_epoch": "1399420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1399420800000",
    "number": "1306256664",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD",
            "address_2": "SUITE E-1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625023",
            "telephone_number": "404-989-4320",
            "fax_number": "678-695-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4343 SHALLOWFORD RD",
            "address_2": "SUITE E-1",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300625023",
            "telephone_number": "404-989-4320",
            "fax_number": "678-695-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEADOW COVE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-05-07",
        "last_updated": "2014-05-07",
        "status": "A",
        "authorized_official_last_name": "HINDS",
        "authorized_official_first_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-989-4320",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW, ACSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW005052",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2014; 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.