Sag Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

SAG COUNSELING

Practice address

8848 Freedom Way
Jonesboro, GA 30238-4786

Phone

(678) 822-6058

NPI assigned

Mar 4, 2022

Organization subpart

No

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

Authorized official

Name

Ms. Vanessa Antionette Mack, BS

Title

Paraprofessional

Phone

(678) 822-6058

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646352000000",
    "number": "1497402093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8848 FREEDOM WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384786",
            "telephone_number": "678-822-6058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8848 FREEDOM WAY",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302384786",
            "telephone_number": "678-822-6058"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAG COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2022-03-04",
        "certification_date": "2022-03-04",
        "status": "A",
        "authorized_official_last_name": "MACK",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_middle_name": "ANTIONETTE",
        "authorized_official_title_or_position": "PARAPROFESSIONAL",
        "authorized_official_telephone_number": "678-822-6058",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "BS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "814637459",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "vmack@williowoakgeorgia.com",
            "affiliation": "N",
            "endpointDescription": "Birp  notes",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "8848 Freedom Way",
            "city": "Jonesboro",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302384786",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Community/Behavioral Health Agency in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2022; 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.