Family Life Counseling Center, Inc

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY1902 Issued in GA

Legal business name

FAMILY LIFE COUNSELING CENTER, INC

Practice address

323 Pine Ave Ste 102
Albany, GA 31701-2595

Phone

(229) 403-0271

Fax

(844) 464-0611

NPI assigned

Mar 18, 2011

Last updated

Mar 6, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Ellen Kay Womack, PSY.D.NPI 1427126689

Title

President

Phone

(229) 403-0271

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Ellen K. Womack, PSY.D.

  • Clinical Psychologist
  • Albany, GA
  • NPI 1427126689
  Authorized official Same address or phone

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

{
    "created_epoch": "1300406400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678060800000",
    "number": "1568761385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "323 PINE AVE STE 102",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012595",
            "telephone_number": "229-403-0271",
            "fax_number": "844-464-0611"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "323 PINE AVE STE 102",
            "city": "ALBANY",
            "state": "GA",
            "postal_code": "317012595",
            "telephone_number": "229-403-0271",
            "fax_number": "844-464-0611"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LIFE COUNSELING CENTER, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-18",
        "last_updated": "2023-03-06",
        "certification_date": "2023-03-06",
        "status": "A",
        "authorized_official_last_name": "WOMACK",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_middle_name": "KAY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "229-403-0271",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PSY.D."
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychologist in Albany, GA
• Providers in Albany, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2023; 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.