Centerstone Counseling Services, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005954 Issued in GA

Legal business name

CENTERSTONE COUNSELING SERVICES, INC.

Practice address

1730 Thompson Bridge Rd Ste 2
Gainesville, GA 30501-1718

Phone

(770) 312-6979

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Teresa Hearn, LCSWNPI 1972017085

Title

President

Phone

(770) 312-6979

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teresa Hearn, LCSW

  • Clinical Social Worker
  • Gainesville, GA
  • NPI 1972017085
  NPD (past) Authorized official

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1306350418",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1730 THOMPSON BRIDGE RD STE 2",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011718",
            "telephone_number": "770-312-6979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 THOMPSON BRIDGE RD STE 2",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305011718",
            "telephone_number": "770-312-6979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTERSTONE COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "HEARN",
        "authorized_official_first_name": "TERESA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-312-6979",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005954",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2017; 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.