Jeanne D. Wyatt, M.S.W., L.C.S.W., P.C.

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

001696 Issued in GA

Legal business name

JEANNE D. WYATT, M.S.W., L.C.S.W., P.C.

Practice address

5672 Peachtree Parkway,
Suite B
Norcross, GA 30092-2847

Phone

(770) 449-4581

Fax

(770) 449-4123

NPI assigned

Dec 24, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Jeanne D. Wyatt, L.C.S.W.NPI 1295877728

Title

President

Phone

(770) 449-4581

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeanne D. Wyatt, L.C.S.W.

  • Clinical Social Worker
  • Norcross, GA
  • NPI 1295877728
  NPD (past) Authorized official
• Donna Cyd Fell, M.D.

  • Psychiatry Physician
  • Norcross, GA
  • NPI 1093892200
  NPD (past)

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

{
    "created_epoch": "1198454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198454400000",
    "number": "1467636696",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5672 PEACHTREE PARKWAY",
            "address_2": "SUITE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922847",
            "telephone_number": "770-449-4581",
            "fax_number": "770-449-4123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5672 PEACHTREE PARKWAY,",
            "address_2": "SUITE B",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300922847",
            "telephone_number": "770-449-4581",
            "fax_number": "770-449-4123"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEANNE D. WYATT, M.S.W., L.C.S.W., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-24",
        "last_updated": "2007-12-24",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "JEANNE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "770-449-4581",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "L.C.S.W."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "001696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nelghina Jean-Charles
• Kedy Ernst Jean-Louis
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• Jedihk Group Services
• Julia C Jefferies
• Donna Saliba Jenkins, PT
• Jeremy Simms Alexander DDS PC

• Mental Health Counselor in Norcross, GA
• Providers in Norcross, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2007; 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.