Brantley Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

LCSW 34536 Issued in ID

Legal business name

BRANTLEY COUNSELING LLC

Practice address

518 Couper Rd
Waynesville, GA 31566-3438

Phone

(912) 292-6087

Fax

(912) 244-9914

NPI assigned

Aug 28, 2016

Organization subpart

No

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

Authorized official

Name

Crystal J Wright, LCSWNPI 1326399718

Title

Sole Member

Phone

(912) 292-6087

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.

• Crystal Joy Wright, LCSW

  • Clinical Social Worker
  • Waynesville, GA
  • NPI 1326399718
  NPD Authorized official

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1706054400000",
    "number": "1497201719",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 254",
            "city": "WAYNESVILLE",
            "state": "GA",
            "postal_code": "315660254",
            "telephone_number": "912-292-6087",
            "fax_number": "912-244-9914"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "518 COUPER RD",
            "city": "WAYNESVILLE",
            "state": "GA",
            "postal_code": "315663438",
            "telephone_number": "912-292-6087",
            "fax_number": "912-244-9914"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRANTLEY COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "SOLE MEMBER",
        "authorized_official_telephone_number": "912-292-6087",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "ID",
            "license": "LCSW 34536",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Waynesville, GA
• Providers in Waynesville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 24, 2024; 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.