Jervon D Hamilton Counseling

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC009947 Issued in GA

Legal business name

JERVON D HAMILTON COUNSELING

Practice address

7255 Jumpers TRL
Fairburn, GA 30213-4813

Phone

(404) 665-7718

NPI assigned

Jun 25, 2018

Organization subpart

No

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

Authorized official

Name

Jervon Hamilton, LPC

Title

Counselor/Director

Phone

(404) 665-7718

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1529884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529884800000",
    "number": "1487149274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7255 JUMPERS TRL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134813",
            "telephone_number": "404-665-7718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7255 JUMPERS TRL",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302134813",
            "telephone_number": "404-665-7718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERVON D HAMILTON COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-25",
        "last_updated": "2018-06-25",
        "status": "A",
        "authorized_official_last_name": "HAMILTON",
        "authorized_official_first_name": "JERVON",
        "authorized_official_title_or_position": "COUNSELOR/DIRECTOR",
        "authorized_official_telephone_number": "404-665-7718",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC009947",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Fairburn, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2018; 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.