Good Talk Therapy LLC

Key facts

NPI

1316727985

Entity type

Organization (NPI type 2)

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X

Legal business name

GOOD TALK THERAPY LLC

Practice address

128 Linzy Store Rd
Crawfordville, FL 32327-2181

Phone

(850) 325-0072

NPI assigned

Oct 2, 2023

Organization subpart

No

Authorized official

Name

Mrs. Holley R Cook, MSW

Title

Practice Owner

Phone

(850) 325-0072

National Provider Directory

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Oct 2, 2023.

{
    "created_epoch": "1696204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696204800000",
    "number": "1316727985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LINZY STORE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272181",
            "telephone_number": "850-325-0072"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LINZY STORE RD",
            "city": "CRAWFORDVILLE",
            "state": "FL",
            "postal_code": "323272181",
            "telephone_number": "850-325-0072"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD TALK THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-02",
        "last_updated": "2023-10-02",
        "certification_date": "2023-10-02",
        "status": "A",
        "authorized_official_last_name": "COOK",
        "authorized_official_first_name": "HOLLEY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRACTICE OWNER",
        "authorized_official_telephone_number": "850-325-0072",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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