Medical Group Consultant LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC5081 Issued in GA

Legal business name

MEDICAL GROUP CONSULTANT LLC

Practice address

6337 Highway 42
Suite 3
Rex, GA 30273-1651

Phone

(404) 895-5510

NPI assigned

Dec 15, 2012

Last updated

Dec 15, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Holly Mims, LPC

Title

Clinical Director

Phone

(410) 905-5678

Specialties & licenses 3

Addresses

Locations

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

{
    "created_epoch": "1355529600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355529600000",
    "number": "1346586567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6337 HIGHWAY 42",
            "address_2": "SUITE 3",
            "city": "REX",
            "state": "GA",
            "postal_code": "302731651",
            "telephone_number": "404-895-5510"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6337 HIGHWAY 42",
            "address_2": "SUITE 3",
            "city": "REX",
            "state": "GA",
            "postal_code": "302731651",
            "telephone_number": "404-895-5510"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDICAL GROUP CONSULTANT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-15",
        "last_updated": "2012-12-15",
        "status": "A",
        "authorized_official_last_name": "MIMS",
        "authorized_official_first_name": "HOLLY",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "410-905-5678",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC5081",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC5081",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC5081",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LJB Non Medical Transportation
• Reginald Louis
• Denise Elecia Lyn-Bradley, LPC
• Janarra Kathryn Mallory-Crawford, MSN, RN, AGPCNP-BC
• Maxine McGowan, MSN, PHD, FNP-C
• Karen N Miller
• Alisha Mitto
• Nakilaha Murray
• Beatrice Nduwimana
• Never Forgotten Transportation

• Professional Counselor in Rex, GA
• Providers in Rex, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 15, 2012; 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.