Affirming Care Counseling and Wellness LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

AFFIRMING CARE COUNSELING AND WELLNESS LLC

Practice address

7806 Vaughn Rd
Montgomery, AL 36116-1333

Phone

(334) 413-4055

NPI assigned

Jan 11, 2021

Last updated

Jan 11, 2021By 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

Kimyatta Greathouse FailsNPI 1134396278

Title

Owner/Ceo

Phone

(334) 413-4055

Specialties & licenses 1

Addresses

Practitioners 1

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.

• Kimyatta Greathouse Fails, LPC,NCC,CAC

  • Professional Counselor
  • Montgomery, AL
  • NPI 1134396278

  Mental Health

  NPD Authorized official

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

{
    "created_epoch": "1610323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1610323200000",
    "number": "1467041996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "464 BLACK RAVENS CT",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427016455",
            "telephone_number": "706-442-5372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7806 VAUGHN RD",
            "city": "MONTGOMERY",
            "state": "AL",
            "postal_code": "361161333",
            "telephone_number": "334-413-4055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRMING CARE COUNSELING AND WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-01-11",
        "last_updated": "2021-01-11",
        "certification_date": "2020-12-24",
        "status": "A",
        "authorized_official_last_name": "FAILS",
        "authorized_official_first_name": "KIMYATTA",
        "authorized_official_middle_name": "GREATHOUSE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "334-413-4055"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Montgomery, AL
• Providers in Montgomery, AL by specialty
• Mental Health Counselor in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2021; 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.