Organization Active NPI

Waystone Therapy LLC

  • Marriage & Family Therapist
  • Roswell, GA
National Provider Identifier
1306684493
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
Legal business name
WAYSTONE THERAPY LLC
Practice address
515 E Crossville Rd Ste 340
Roswell, GA 30075-5861
Phone
(678) 353-6778
Fax
(678) 336-0154
NPI assigned
Jul 15, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Authorized official

Name
Beth Mills Leonard, LMFT
Title
Sole Member
Phone
(678) 353-6778

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X Primary

Addresses

Primary practice location

515 E Crossville Rd Ste 340
Roswell, GA 30075-5861

Mailing address

515 E Crossville Rd Ste 340
Roswell, GA 30075-5861
Phone (678) 353-6778

National Provider Directory

National Provider Directory

Locations

515 E Crossville Rd
Ste 340
Roswell, GA 30075
Phone (678) 353-6778

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1721001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1721001600000",
    "number": "1306684493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E CROSSVILLE RD STE 340",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755861",
            "telephone_number": "678-353-6778",
            "fax_number": "678-336-0154"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E CROSSVILLE RD STE 340",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300755861",
            "telephone_number": "678-353-6778",
            "fax_number": "678-336-0154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAYSTONE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-15",
        "last_updated": "2024-07-15",
        "certification_date": "2024-07-15",
        "status": "A",
        "authorized_official_last_name": "LEONARD",
        "authorized_official_first_name": "BETH",
        "authorized_official_middle_name": "MILLS",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "678-353-6778",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; 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.