NPIMap

Organization Active NPI

Eccentric Therapies LLC

  • Mental Health Counselor
  • Decatur, GA
National Provider Identifier
1326424540
Registry record updated Aug 11, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC008117 Issued in GA
Legal business name
ECCENTRIC THERAPIES LLC
Practice address
4350 Pleasant Point Dr
Apt. a
Decatur, GA 30034-7003
Phone
(404) 449-3696
NPI assigned
Aug 11, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2015

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

Authorized official

Name
Miss Sheree Nicole Hall, LPC, NCCNPI 1871826263
Title
Ceo
Phone
(404) 449-3696

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X LPC008117 GA Primary

Addresses

Primary practice location

4350 Pleasant Point Dr
Apt. a
Decatur, GA 30034-7003

Mailing address

PO Box 733
Decatur, GA 30031-0733

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1326424540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 733",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300310733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4350 PLEASANT POINT DR",
            "address_2": "APT. A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300347003",
            "telephone_number": "404-449-3696"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ECCENTRIC THERAPIES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "SHEREE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-449-3696",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008117",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2015; 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.