Organization Active NPI

C.E.O. Professional Services, LLC

  • Professional Counselor
  • Peachtree Corners, GA
National Provider Identifier
1487233433
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
C.E.O. PROFESSIONAL SERVICES, LLC
Practice address
3841 Holcomb Bridge Rd Ste 400
Peachtree Corners, GA 30092-2205
Phone
(404) 994-6304
Fax
(912) 539-6565
NPI assigned
Apr 6, 2021
Last updated
Apr 6, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Authorized official

Name
Magaen Harris, LPCNPI 1720525181
Title
Therapist/ Owner/ Ceo
Phone
(404) 994-6304

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X Primary
Clinical Social Worker 1041C0700X
Marriage & Family Therapist 106H00000X

Addresses

Primary practice location

3841 Holcomb Bridge Rd Ste 400
Peachtree Corners, GA 30092-2205

Mailing address

PO Box 3037
Duluth, GA 30096-0052
Phone (678) 383-7093

National Provider Directory

National Provider Directory

Locations

3841 Holcomb Bridge Rd
Ste 400
Peachtree Corners, GA 30092
Phone (404) 994-6304

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1617667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617667200000",
    "number": "1487233433",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3037",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300960052",
            "telephone_number": "678-383-7093",
            "fax_number": "912-539-6565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3841 HOLCOMB BRIDGE RD STE 400",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300922205",
            "telephone_number": "404-994-6304",
            "fax_number": "912-539-6565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "C.E.O. PROFESSIONAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-06",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A",
        "authorized_official_last_name": "HARRIS",
        "authorized_official_first_name": "MAGAEN",
        "authorized_official_title_or_position": "THERAPIST/ OWNER/ CEO",
        "authorized_official_telephone_number": "404-994-6304",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 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.