Eagle Counseling & Consulting LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

EAGLE COUNSELING & CONSULTING LLC

Practice address

1561 Bramlett Hill LN
Lawrenceville, GA 30045-2601

Phone

(843) 364-4374

NPI assigned

May 30, 2018

Organization subpart

No

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

Authorized official

Name

Mrs. Shonta Williams

Title

Counselor

Phone

(843) 364-4374

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1527638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1527638400000",
    "number": "1518459270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1561 BRAMLETT HILL LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452601",
            "telephone_number": "843-364-4374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1561 BRAMLETT HILL LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300452601",
            "telephone_number": "843-364-4374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAGLE COUNSELING & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-30",
        "last_updated": "2018-05-30",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "SHONTA",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "843-364-4374",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "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 May 30, 2018; 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.