Roswell Lakes Counseling and Consulting LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

ROSWELL LAKES COUNSELING AND CONSULTING LLC

Practice address

700 Old Roswell Lakes Pkwy Ste 350
Roswell, GA 30076-1676

Phone

(404) 444-2751

NPI assigned

Apr 29, 2019

Organization subpart

No

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

Authorized official

Name

Jeri Green, LPC

Title

Owner

Phone

(404) 444-2751

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1556496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1556496000000",
    "number": "1316501935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PKWY STE 350",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761676",
            "telephone_number": "404-444-2751"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 OLD ROSWELL LAKES PKWY STE 350",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761676",
            "telephone_number": "404-444-2751"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROSWELL LAKES COUNSELING AND CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-04-29",
        "last_updated": "2019-04-29",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "JERI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-444-2751",
        "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 Apr 29, 2019; 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.