Integrative Wellness Counseling Services, Inc.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC008882 Issued in GA

Legal business name

INTEGRATIVE WELLNESS COUNSELING SERVICES, INC.

Practice address

204 Church St
Decatur, GA 30030-3328

Phone

(678) 748-0213

Fax

(404) 393-5939

NPI assigned

Jun 28, 2016

Last updated

Jun 28, 2016By 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

Ms. Bahiyya Amh-Shere, LPC

Title

Chief Executive Officer

Phone

(678) 748-0123

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1346691623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "931 MONROE DR NE",
            "address_2": "#A102-456",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303081793",
            "telephone_number": "678-748-0123",
            "fax_number": "404-393-5939"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "204 CHURCH ST",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300303328",
            "telephone_number": "678-748-0213",
            "fax_number": "404-393-5939"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE WELLNESS COUNSELING SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "AMH-SHERE",
        "authorized_official_first_name": "BAHIYYA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "678-748-0123",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.