Organization Active NPI

Decatur Recovery Services, Inc.

  • Professional Counselor
  • Decatur, GA
National Provider Identifier
1386788321
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
1844 Issued in GA
Legal business name
DECATUR RECOVERY SERVICES, INC.
Practice address
558 Medlock Rd
Suite B
Decatur, GA 30030-1512
Phone
(404) 378-4167
Fax
(404) 378-2102
NPI assigned
Feb 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Marilyn Hughes, L.P.C.
Title
Psychotherapist
Phone
(404) 378-4167

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X 1844 GA Primary

Addresses

Primary practice location

558 Medlock Rd
Suite B
Decatur, GA 30030-1512

Mailing address

PO Box 2549
Decatur, GA 30031-2549
Phone (404) 378-4167

National Provider Directory

National Provider Directory

Locations

558 Medlock Rd
Ste B
Decatur, GA 30030
Phone (404) 378-4167

NPI Registry JSON

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

{
    "created_epoch": "1171497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1386788321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2549",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300312549",
            "telephone_number": "404-378-4167",
            "fax_number": "404-378-2102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "558 MEDLOCK RD",
            "address_2": "SUITE B",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300301512",
            "telephone_number": "404-378-4167",
            "fax_number": "404-378-2102"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DECATUR RECOVERY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-15",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HUGHES",
        "authorized_official_first_name": "MARILYN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "404-378-4167",
        "authorized_official_credential": "L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "1844",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.