West Georgia Christian Counseling, LLC

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

WEST GEORGIA CHRISTIAN COUNSELING, LLC

Practice address

302 Augusta Woods Dr
Villa Rica, GA 30180-5224

Phone

(608) 609-4766

NPI assigned

Apr 15, 2024

Last updated

Apr 15, 2024By 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

Tiffany Brooke Raley, LPCNPI 1720680853

Title

LPC & Ceo

Phone

(608) 609-4766

Specialties & licenses 1

Addresses

Other names 1

• West Georgia Christian Counseling, LLC Former legal business name

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.

• Tiffany Brooke Raley, LPC

  • Professional Counselor
  • Madison, WI
  • NPI 1720680853
  NPD Authorized official

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

{
    "created_epoch": "1713139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1713139200000",
    "number": "1578317830",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 AUGUSTA WOODS DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805224",
            "telephone_number": "608-609-4766"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 AUGUSTA WOODS DR",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301805224",
            "telephone_number": "608-609-4766"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST GEORGIA CHRISTIAN COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-15",
        "last_updated": "2024-04-15",
        "certification_date": "2024-04-13",
        "status": "A",
        "authorized_official_last_name": "RALEY",
        "authorized_official_first_name": "TIFFANY",
        "authorized_official_middle_name": "BROOKE",
        "authorized_official_title_or_position": "LPC & CEO",
        "authorized_official_telephone_number": "608-609-4766",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Georgia Christian Counseling, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Jayla Weaver, M.S., CCC-SLP
• Kendra Webb-Muhammad, LPC
• Martha Juliet Webb, CTRS
• Wellstar Douglasville Medical Center at Villa Rica, LLC
• Wellstart Medical, LLC
• West Georgia Diagnostic Testing LLC
• West Georgia Family Medicine Associates, PA
• West Georgia Therapy Center, LLC
• Westcare Villa Rica Pediatrics (Westcare Pediatrics and Adult Medicine)
• Joseph Peter Whitehead, D.C.

• Adolescent and Children Mental Health Clinic/Center in Villa Rica, GA
• Providers in Villa Rica, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2024; 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.