Two Rivers Counseling and Psychological Services, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TWO RIVERS COUNSELING AND PSYCHOLOGICAL SERVICES, LLC

Practice address

72 Bonnie Reed Psge
Midway, GA 31320-4925

Phone

(912) 421-4432

Fax

(912) 525-2897

NPI assigned

Sep 15, 2020

Last updated

Sep 15, 2020By 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

Dr. Jeremy Lormis, PHD, LPC

Title

Director

Phone

(912) 980-5074

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1600128000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600128000000",
    "number": "1376158360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "72 BONNIE REED PSGE",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313204925",
            "telephone_number": "912-421-4432",
            "fax_number": "912-525-2897"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "72 BONNIE REED PSGE",
            "city": "MIDWAY",
            "state": "GA",
            "postal_code": "313204925",
            "telephone_number": "912-421-4432",
            "fax_number": "912-525-2897"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWO RIVERS COUNSELING AND PSYCHOLOGICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-15",
        "last_updated": "2020-09-15",
        "certification_date": "2020-09-15",
        "status": "A",
        "authorized_official_last_name": "LORMIS",
        "authorized_official_first_name": "JEREMY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "912-980-5074",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Strong
• Helene M Taulbee, AMFT
• Think Big Youth Organization LLC
• Transformhealthrx
• Trinity Healthcare Recruiting Corp
• U Matter Consulting and Counseling
• Edna Walthour
• Virginia Williams, ED. D.
• Jessica Alyssa Wimberly
• Woodland Health Care LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Midway, GA
• Providers in Midway, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2020; 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.