3 Dimensional Counseling Center, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

3 DIMENSIONAL COUNSELING CENTER, INC.

Practice address

2385 Wall Street
Conyers, GA 30013

Phone

(770) 787-8867

Fax

(770) 787-8867

NPI assigned

Sep 24, 2009

Last updated

Mar 26, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nyree Dawn Jackson

Title

Ceo

Phone

(770) 787-8867

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269561600000",
    "number": "1508190406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2385 WALL STREET",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-787-8867",
            "fax_number": "770-787-8867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2385 WALL STREET",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30013",
            "telephone_number": "770-787-8867",
            "fax_number": "770-787-8867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3 DIMENSIONAL COUNSELING CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-09-24",
        "last_updated": "2010-03-26",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "NYREE",
        "authorized_official_middle_name": "DAWN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-787-8867"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 2010; 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.