Active NPI
Shirley Therapeutic and Consulting Services, LLC
- Marriage & Family Therapist
- Warner Robins, GA
National Provider Identifier
1417463571
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- License
- MFT001503
- Legal business name
- SHIRLEY THERAPEUTIC AND CONSULTING SERVICES, LLC
- Practice address
- 611 Russell Pkwy Ste a
Warner Robins, GA 31088-7691 - Phone
- (478) 922-2700
- NPI assigned
- Dec 27, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Ronda Dionne Shirley, LMFT
- Title
- Owner
- Phone
- (478) 922-2700
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFT001503 | GA | Primary |
Addresses
Primary practice location
611 Russell Pkwy Ste a
Warner Robins, GA 31088-7691
Mailing address
611 Russell Pkwy Ste a
Warner Robins, GA 31088-7691
Phone (478) 922-2700
National Provider Directory
National Provider DirectoryLocations
611 Russell Pkwy
Ste A
Warner Robins, GA 31088
Phone (478) 922-2700
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Marriage & Family Therapist
- Macon, GA
- NPI 1770025678
-
- Marriage & Family Therapist
- Macon, GA
- NPI 1568052082
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1514332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1514332800000",
"number": "1417463571",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "611 RUSSELL PKWY STE A",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310887691",
"telephone_number": "478-922-2700"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "611 RUSSELL PKWY STE A",
"city": "WARNER ROBINS",
"state": "GA",
"postal_code": "310887691",
"telephone_number": "478-922-2700"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHIRLEY THERAPEUTIC AND CONSULTING SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-12-27",
"last_updated": "2017-12-27",
"status": "A",
"authorized_official_last_name": "SHIRLEY",
"authorized_official_first_name": "RONDA",
"authorized_official_middle_name": "DIONNE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "478-922-2700",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Marriage & Family Therapist",
"state": "GA",
"license": "MFT001503",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warner Robins, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 27, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.