Active NPI
Shena Manning, Brighten Path Counseling,LLC
- Professional Counselor
- Peachtree City, GA
National Provider Identifier
1417580002
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- SHENA MANNING, BRIGHTEN PATH COUNSELING,LLC
- Practice address
- 23 Eastbrook BND Ste C
Peachtree City, GA 30269-1565 - Phone
- (770) 609-0357
- NPI assigned
- Feb 21, 2020
- 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
- Shena Manning, LCMHC
- Title
- Ceo
- Phone
- (770) 609-0357
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Community/Behavioral Health Agency | 251S00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X |
Addresses
Primary practice location
23 Eastbrook BND Ste C
Peachtree City, GA 30269-1565
Mailing address
1007 Mansell Rd Ste a Pmb2020
Ste a, Pmb2020
Roswell, GA 30076-4805
Phone (770) 609-0357
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568093748 | Other | GA | NPI |
National Provider Directory
National Provider DirectoryLocations
23 Eastbrook Bnd
Ste C
Peachtree City, GA 30269
Phone (770) 609-0357
1007 Mansell Rd
Ste A
Roswell, GA 30076
Practitioners & affiliated clinicians
Practitioners 1
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": "1582243200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1582243200000",
"number": "1417580002",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1007 MANSELL RD STE A PMB2020",
"address_2": "STE A, PMB2020",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300764805",
"telephone_number": "770-609-0357"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "23 EASTBROOK BND STE C",
"city": "PEACHTREE CITY",
"state": "GA",
"postal_code": "302691565",
"telephone_number": "770-609-0357"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SHENA MANNING, BRIGHTEN PATH COUNSELING,LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-21",
"last_updated": "2020-02-21",
"certification_date": "2020-02-21",
"status": "A",
"authorized_official_last_name": "MANNING",
"authorized_official_first_name": "SHENA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-609-0357",
"authorized_official_credential": "LCMHC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1568093748",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Peachtree City, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 21, 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.