Wings of Hope Counseling Center

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004377 Issued in GA

Legal business name

WINGS OF HOPE COUNSELING CENTER

Practice address

157 Burke St
Ste 113
Stockbridge, GA 30281-3433

Phone

(678) 561-4673

Fax

(770) 895-9120

NPI assigned

May 21, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Kara Beckett Coleman, LCSW

Title

Therapist

Phone

(678) 438-9084

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1337558400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337558400000",
    "number": "1518227834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "157 BURKE ST",
            "address_2": "STE 113",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813433",
            "fax_number": "770-895-9120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "157 BURKE ST",
            "address_2": "STE 113",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302813433",
            "telephone_number": "678-561-4673",
            "fax_number": "770-895-9120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WINGS OF HOPE COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-21",
        "last_updated": "2012-05-21",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "KARA",
        "authorized_official_middle_name": "BECKETT",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "678-438-9084",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004377",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003122272B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachael Wilson
• Robert Wilson, MD
• Tracy Elizabeth Wimbush, MD
• Daniel Wind, MD
• Sandra Denise Winfree
• Dawn A Winkelman, LPC
• Vanessa Marcy Winokur, PA-C
• Michelle Martin Winter
• Ashley D Wise, PAC
• Daniel Philip Witter I, M.D.

• Clinical Social Worker in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2012; 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.