Project Growth Initiative Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC4527 Issued in GA

Legal business name

PROJECT GROWTH INITIATIVE INC

Practice address

3655 Canton Rd Ste 106
Marietta, GA 30066-2686

Phone

(678) 250-4754

NPI assigned

Jul 15, 2014

Last updated

Jul 15, 2014By the provider in NPPES

Organization subpart

Yes

Parent organization

ANGELS IN DISGUISE COUNSELING AND ASSESSMENTS LLCAs reported in NPPES

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

Authorized official

Name

Ms. Yolanda Seals, LPC, LMFT

Title

Ceo

Phone

(404) 663-8012

Specialties & licenses 3

Addresses

Other identifiers 1

Part of

Angels in Disguise Counseling and Assessments LLC

Locations

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Angels in Disguise Counseling and Assessments, LLC

  dba AID Social Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Marietta, GA
  • NPI 1962849927
  NPPES parent name

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

{
    "created_epoch": "1405382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405382400000",
    "number": "1447667076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3655 CANTON RD STE 106",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662686"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3655 CANTON RD STE 106",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300662686",
            "telephone_number": "678-250-4754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT GROWTH INITIATIVE INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "ANGELS IN DISGUISE COUNSELING AND ASSESSMENTS LLC",
        "enumeration_date": "2014-07-15",
        "last_updated": "2014-07-15",
        "status": "A",
        "authorized_official_last_name": "SEALS",
        "authorized_official_first_name": "YOLANDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-663-8012",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC, LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004527",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC4527",
            "primary": true
        },
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": "GA",
            "license": "LPC4527",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003136558A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Marietta, GA
• Providers in Marietta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2014; 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.