Organization Active NPI

Center for Counseling, Rehabilitation, and Personal Evaluation

  • Counselor
  • Lilburn, GA
National Provider Identifier
1518109461
Registry record updated Mar 24, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC003265 Issued in GA
Legal business name
CENTER FOR COUNSELING, REHABILITATION, AND PERSONAL EVALUATION
Practice address
331 Arcado Rd NW
Suite B
Lilburn, GA 30047-2814
Phone
(770) 564-3230
Fax
(770) 564-3792
NPI assigned
Mar 24, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2009

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

Authorized official

Name
Dr. Robin E Dock, PH.D.
Title
Owner/Director
Phone
(770) 564-3230

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101Y00000X LPC003265 GA Primary

Addresses

Primary practice location

331 Arcado Rd NW
Suite B
Lilburn, GA 30047-2814

Mailing address

331 Arcado Rd NW
Suite B
Lilburn, GA 30047-2814
Phone (770) 564-3230

National Provider Directory

National Provider Directory
Tax ID family
Center for Counseling Rehabilitation and Personal Evaluation2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

331 Arcado Rd NW
Ste B
Lilburn, GA 30047
Phone (678) 205-0877

NPI Registry JSON

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

{
    "created_epoch": "1237852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1237852800000",
    "number": "1518109461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "331 ARCADO RD NW",
            "address_2": "SUITE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472814",
            "telephone_number": "770-564-3230",
            "fax_number": "770-564-3792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "331 ARCADO RD NW",
            "address_2": "SUITE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300472814",
            "telephone_number": "770-564-3230",
            "fax_number": "770-564-3792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR COUNSELING, REHABILITATION, AND PERSONAL EVALUATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-24",
        "last_updated": "2009-03-24",
        "status": "A",
        "authorized_official_last_name": "DOCK",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "770-564-3230",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC003265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2009; 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.