The Real McCoy Therapy & Consulting LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

THE REAL MCCOY THERAPY & CONSULTING LLC

Doing business as

The Real McCoy Therapy & Consulting LLC

Practice address

3795 Thames Rd
College Park, GA 30349-1511

Phone

(678) 799-5257

NPI assigned

Feb 12, 2024

Last updated

Feb 12, 2024By 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

Mrs. Erica McCoyNPI 1437805488

Title

Ceo

Phone

(678) 799-5257

Specialties & licenses 1

Addresses

Other names 1

• The Real McCoy Therapy & Consulting LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA, FL2 enrollments

Enrollment records 2

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.

• Erica Renee McCoy

  • Marriage & Family Therapist
  • Atlanta, GA
  • NPI 1437805488

  FL, Single Specialty

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1707696000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1707696000000",
    "number": "1467216317",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3795 THAMES RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303491511",
            "telephone_number": "678-799-5257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3795 THAMES RD",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303491511",
            "telephone_number": "678-799-5257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REAL MCCOY THERAPY & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-12",
        "last_updated": "2024-02-12",
        "certification_date": "2024-02-12",
        "status": "A",
        "authorized_official_last_name": "MCCOY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-799-5257",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Real McCoy Therapy & Consulting LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• The Healthy Mental LLC
• The Kroger Co (Kroger Pharmacy)
• Janella Lynne Thomas-Burse, M.D.
• Andrea Thomas
• Zachary B Thomas, DC
• Brianna Thompson
• To & From Transportation LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in College Park, GA
• Providers in College Park, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.