Organization Active NPI

Family Tree Counseling and Training Center LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Milledgeville, GA
National Provider Identifier
1386266088
Registry record updated May 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
FAMILY TREE COUNSELING AND TRAINING CENTER LLC
Practice address
187 Roberson Mill Rd NE Ste 110
Milledgeville, GA 31061-4925
Phone
(478) 304-4878
Fax
(478) 215-0361
NPI assigned
May 15, 2020
Last updated
May 15, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2020

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

Authorized official

Name
Tamiko HorneNPI 1750804852
Title
LPC
Phone
(478) 304-4878

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

187 Roberson Mill Rd NE Ste 110
Milledgeville, GA 31061-4925

Mailing address

187 Roberson Mill Rd NE Ste 110
Milledgeville, GA 31061-4925
Phone (478) 304-4878

National Provider Directory

National Provider Directory

Locations

187 Roberson Mill Rd NE
Ste 110
Milledgeville, GA 31061
Phone (478) 304-4878

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": "1589500800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1589500800000",
    "number": "1386266088",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "187 ROBERSON MILL RD NE STE 110",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614925",
            "telephone_number": "478-304-4878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "187 ROBERSON MILL RD NE STE 110",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310614925",
            "telephone_number": "478-304-4878",
            "fax_number": "478-215-0361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY TREE COUNSELING AND TRAINING CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-05-15",
        "last_updated": "2020-05-15",
        "certification_date": "2020-05-15",
        "status": "A",
        "authorized_official_last_name": "HORNE",
        "authorized_official_first_name": "TAMIKO",
        "authorized_official_title_or_position": "LPC",
        "authorized_official_telephone_number": "478-304-4878"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

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