My Relax Session LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

MY RELAX SESSION LLC

Practice address

2020 Avalon Pkwy Ste 375
McDonough, GA 30253-3089

Phone

(404) 324-7902

NPI assigned

Jun 11, 2021

Organization subpart

No

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

Authorized official

Name

Stephanie Jones Headen, LPCNPI 1275042152

Title

Ceo

Phone

(404) 324-7902

Specialties & licenses 1

Addresses

Other names 1

• Stephanie Headen, LLC Former legal business name

Electronic endpoints 1

Locations

Practitioners 1

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

• Stephanie Jones Headen

  • Professional Counselor
  • Locust Grove, GA
  • NPI 1275042152
  NPD Authorized official

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

{
    "created_epoch": "1623369600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623369600000",
    "number": "1497323000",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 HUDSON BRIDGE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816331",
            "telephone_number": "404-324-7902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2020 AVALON PKWY STE 375",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533089",
            "telephone_number": "404-324-7902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MY RELAX SESSION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-11",
        "last_updated": "2021-06-11",
        "certification_date": "2021-06-11",
        "status": "A",
        "authorized_official_last_name": "HEADEN",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "JONES",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-324-7902",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stephanieheaden.com",
            "affiliation": "N",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2020 Avalon Pkwy Ste 375",
            "city": "McDonough",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302533089",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Stephanie Headen, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Professional Counselor in McDonough, GA
• Providers in McDonough, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 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.