Organization Active NPI

Missions Possible of Atlanta Day Program LLC.

  • Mental Health Counselor
  • Atlanta, GA
National Provider Identifier
1386135010
Registry record updated Mar 21, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
MISSIONS POSSIBLE OF ATLANTA DAY PROGRAM LLC.
Practice address
805 Ayrshire Cir NW
Atlanta, GA 30318
Phone
(770) 905-0892
NPI assigned
May 29, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 21, 2019

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

Authorized official

Name
Deborah Michelle Farley
Title
Co-Owner
Phone
(770) 912-6756

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

805 Ayrshire Cir NW
Atlanta, GA 30318

Mailing address

805 Ayrshire Cir NW
Atlanta, GA 30318-6387

National Provider Directory

National Provider Directory

Locations

1800 Phoenix Blvd
Ste 201
College Park, GA 30349
Phone (770) 912-6756

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1527552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553126400000",
    "number": "1386135010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 AYRSHIRE CIR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303186387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 AYRSHIRE CIR NW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "30318",
            "telephone_number": "770-905-0892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSIONS POSSIBLE OF ATLANTA DAY PROGRAM LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-29",
        "last_updated": "2019-03-21",
        "status": "A",
        "authorized_official_last_name": "FARLEY",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "770-912-6756"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 21, 2019; 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.