Organization Active NPI

Healing Psychotherapy Practices of Georgia

  • Professional Counselor
  • Kennesaw, GA
National Provider Identifier
1356679625
Registry record updated Mar 31, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
5124 Issued in GA
Legal business name
HEALING PSYCHOTHERAPY PRACTICES OF GEORGIA
Practice address
125 Townpark Dr NW
Suite 300
Kennesaw, GA 30144-5803
Phone
(404) 553-1291
NPI assigned
Nov 25, 2009
Last updated
Mar 31, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2010

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

Authorized official

Name
Camille Marie Harris
Title
Director/Therapist
Phone
(404) 553-1291

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X 5124 GA Primary

Addresses

Primary practice location

125 Townpark Dr NW
Suite 300
Kennesaw, GA 30144-5803

Mailing address

2378 Whites RDG
Decatur, GA 30034-1110
Phone (404) 553-1291

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1259107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269993600000",
    "number": "1356679625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2378 WHITES RDG",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341110",
            "telephone_number": "404-553-1291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 TOWNPARK DR NW",
            "address_2": "SUITE 300",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301445803",
            "telephone_number": "404-553-1291"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING PSYCHOTHERAPY PRACTICES OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-25",
        "last_updated": "2010-03-31",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "DIRECTOR/THERAPIST",
        "authorized_official_telephone_number": "404-553-1291"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "5124",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kennesaw, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2010; 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.