Active NPI
Counseling & Prayer USA, Inc.
- Clinical Social Worker
- Atlanta, GA
National Provider Identifier
1356515720
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- LMSW004061
- Legal business name
- COUNSELING & PRAYER USA, INC.
- Practice address
- 1297 Chaucer LN NE
Atlanta, GA 30319-1507 - Phone
- (678) 429-9872
- NPI assigned
- Apr 16, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Agnes Sullivan, MSC., MSW, LMSW
- Title
- Clinical Director
- Phone
- (678) 429-9872
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | LMSW004061 | GA | Primary |
Addresses
Primary practice location
1297 Chaucer LN NE
Atlanta, GA 30319-1507
Mailing address
2348 Welton PL
Atlanta, GA 30338-5345
Phone (678) 983-4720
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208304000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208304000000",
"number": "1356515720",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2348 WELTON PL",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303385345",
"telephone_number": "678-983-4720"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1297 CHAUCER LN NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303191507",
"telephone_number": "678-429-9872"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COUNSELING & PRAYER USA, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2008-04-16",
"last_updated": "2008-04-16",
"status": "A",
"authorized_official_last_name": "SULLIVAN",
"authorized_official_first_name": "AGNES",
"authorized_official_title_or_position": "CLINICAL DIRECTOR",
"authorized_official_telephone_number": "678-429-9872",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MSC., MSW, LMSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "GA",
"license": "LMSW004061",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Atlanta, GA
- Kady Victoria Elisabeth Coulibaly
- Hannah Coulter
- Lee A Coulter, P.A.-C
- Denise Coultes, NP-C
- Melissa May Counihan, M.D.
- Counseling and Psychological Services - Atlanta
- Counseling Crisis and Caring, LLC
- Counseling Crisis and Caring, LLC
- Counseling for Change, LLC
- Counseling Services of Catherine McKendrick
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.