Essential Medical and Mental Health Institute

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

ESSENTIAL MEDICAL AND MENTAL HEALTH INSTITUTE

Practice address

486 Luke CT
Jonesboro, GA 30238-5798

Phone

(770) 873-0236

NPI assigned

Mar 30, 2019

Organization subpart

No

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

Authorized official

Name

Dr. Niyah GloverNPI 1538635792

Title

Owner

Phone

(770) 873-0236

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Niyah Glover

  • Mental Health Counselor
  • Lagrange, GA
  • NPI 1538635792
  NPD Authorized official

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

{
    "created_epoch": "1553904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553904000000",
    "number": "1548721525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "486 LUKE CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385798",
            "telephone_number": "770-873-0236"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "486 LUKE CT",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302385798",
            "telephone_number": "770-873-0236"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ESSENTIAL MEDICAL AND MENTAL HEALTH INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-30",
        "last_updated": "2019-03-30",
        "status": "A",
        "authorized_official_last_name": "GLOVER",
        "authorized_official_first_name": "NIYAH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-873-0236",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "N/A",
            "identifier": "LPC010206",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Epic Medical Services, LLC
• Epiphany Counseling Guidance and Treatment Services
• Charles Ray Epps II, LPC
• Equilibrium, LLC
• Oghenerukevwe Ololade Erhenede
• Jovito B Estaris, M.D.
• Dortheiya Darneila Evans Cook, RBT
• Attiyya D Evans
• Deborah Evans, PA-C
• Helen Maria Evesley

• Mental Health Clinic/Center (Including Community Mental Health Center) in Jonesboro, GA
• Providers in Jonesboro, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2019; 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.