Southeast Connection Counseling Center LLC

Primary specialty

Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X

Legal business name

SOUTHEAST CONNECTION COUNSELING CENTER LLC

Doing business as

Southeast Counseling Center LLC

Practice address

229 Larue LN
Collins, GA 30421-6638

Phone

(912) 577-5372

NPI assigned

Aug 2, 2018

Last updated

Aug 2, 2024By 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

Deborah Stewart, DR.NPI 1740568815

Title

Psychiatric Nurse Practitioner

Phone

(912) 577-5372

Specialties & licenses 1

Addresses

Other names 1

• Southeast Counseling Center LLC Doing business as

Locations

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.

• Deborah Margaret Stewart, FNP-C, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Aurora, IL
  • NPI 1740568815
  NPD Authorized official

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

{
    "created_epoch": "1533168000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722556800000",
    "number": "1356829188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "229 LARUE LN",
            "city": "COLLINS",
            "state": "GA",
            "postal_code": "304216638",
            "telephone_number": "912-577-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "229 LARUE LN",
            "city": "COLLINS",
            "state": "GA",
            "postal_code": "304216638",
            "telephone_number": "912-577-5372"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "229 LaRue Ln",
            "address_purpose": "LOCATION",
            "city": "Collins",
            "state": "GA",
            "postal_code": "304216638",
            "country_code": "US",
            "telephone_number": "912-577-5372",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "SOUTHEAST CONNECTION COUNSELING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-02",
        "last_updated": "2024-08-02",
        "certification_date": "2024-03-29",
        "status": "A",
        "authorized_official_last_name": "STEWART",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_title_or_position": "PSYCHIATRIC NURSE PRACTITIONER",
        "authorized_official_telephone_number": "912-577-5372",
        "authorized_official_credential": "DR."
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southeast Counseling Center LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judith Ann Burroughs, NURSE PRACTITIONER
• Nikki Collins, RN
• Danelle Lanette McCray
• Jaleesa McCray
• Laura Mosley

• Psychiatric/Mental Health Nurse Practitioner in Collins, GA
• Providers in Collins, GA by specialty
• Psychiatric/Mental Health Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2024; 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.