Twilynn Jourdain Enterprises, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

TWILYNN JOURDAIN ENTERPRISES, LLC

Doing business as

Thriveworks Decatur Counseling & Life Coaching

Practice address

315 W Ponce de Leon Ave Ste 560
Decatur, GA 30030-2448

Phone

(678) 805-1270

Fax

(770) 498-3891

NPI assigned

Mar 9, 2019

Last updated

Mar 9, 2019By 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

Ms. Twilynn Marie Jourdain, M.ED., LPC, NCCNPI 1174824627

Title

Owner, Ceo, Clinical Director

Phone

(678) 805-1270

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• Thriveworks Decatur Counseling & Life Coaching Doing business as

Locations

Practitioners 4

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.

• Twilynn Marie Jourdain, LPC

  • Professional Counselor
  • Sandy Springs, GA
  • NPI 1174824627
  NPD (past) Authorized official
• Eleanor Louise Brown, LPC

  • Professional Counselor
  • Ellenwood, GA
  • NPI 1275280802
  NPD (past)
• Anchanese Levison, LPC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1548615693
  NPD (past)
• Thomas Russell

  • Professional Counselor
  • Sandy Springs, GA
  • NPI 1205354396
  NPD (past)

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

{
    "created_epoch": "1552089600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1552089600000",
    "number": "1417415316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6723 PINE VALLEY TRACE",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300875818",
            "telephone_number": "404-375-0625",
            "fax_number": "770-498-3891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 W PONCE DE LEON AVE STE 560",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302448",
            "telephone_number": "678-805-1270",
            "fax_number": "770-498-3891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TWILYNN JOURDAIN ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-09",
        "last_updated": "2019-03-09",
        "status": "A",
        "authorized_official_last_name": "JOURDAIN",
        "authorized_official_first_name": "TWILYNN",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER, CEO, CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "678-805-1270",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.ED., LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003100714A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1174824627",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Thriveworks Decatur Counseling & Life Coaching",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Tyrone D. Lane Enterprises, Incorporated
• Madison G Tyrus

• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 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.