Center for Counseling, Rehabilitation, & Personal Evaluation

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003265 Issued in GA

Legal business name

CENTER FOR COUNSELING, REHABILITATION, & PERSONAL EVALUATION

Practice address

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

Phone

(770) 564-3230

Fax

(770) 564-3792

NPI assigned

Jul 6, 2011

Organization subpart

No

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

Authorized official

Name

Robin Dock, PH.D., L.P.C.

Title

Owner, Head Clinician

Phone

(770) 564-3230

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1309910400000",
    "number": "1538456942",
    "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, & PERSONAL EVALUATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2011-07-06",
        "status": "A",
        "authorized_official_last_name": "DOCK",
        "authorized_official_first_name": "ROBIN",
        "authorized_official_title_or_position": "OWNER, HEAD CLINICIAN",
        "authorized_official_telephone_number": "770-564-3230",
        "authorized_official_credential": "PH.D., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 2011; 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.