Organization Active NPI

Shirley Therapeutic and Consulting Services, LLC

  • Marriage & Family Therapist
  • Warner Robins, GA
National Provider Identifier
1417463571
Registry record updated Dec 27, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001503 Issued in GA
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

Updated by the provider on Dec 27, 2017

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

Authorized official

Name
Mrs. Ronda Dionne Shirley, LMFTNPI 1770025678
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)CodeLicenseStatePrimary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

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.

Verify at the official NPI Registry.