Diamond Counseling and Coaching, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DIAMOND COUNSELING AND COACHING, LLC

Practice address

135 Bradford SQ Ste B
Fayetteville, GA 30215-1902

Phone

(678) 886-9112

Fax

(404) 900-9088

NPI assigned

Feb 12, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Roselande Domond, LPC

Title

License Professional Counselor

Phone

(678) 886-9112

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

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

{
    "created_epoch": "1581465600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593388800000",
    "number": "1497387963",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11658 KADES TRL",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302284012",
            "telephone_number": "678-886-9112",
            "fax_number": "404-900-9088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 BRADFORD SQ STE B",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302151902",
            "telephone_number": "678-886-9112",
            "fax_number": "404-900-9088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND COUNSELING AND COACHING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-12",
        "last_updated": "2020-06-29",
        "certification_date": "2020-06-29",
        "status": "A",
        "authorized_official_last_name": "DOMOND",
        "authorized_official_first_name": "ROSELANDE",
        "authorized_official_title_or_position": "LICENSE PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "678-886-9112",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003229763A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003169295B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fayetteville, GA
• Providers in Fayetteville, 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 29, 2020; 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.