Care and Counseling Center of Georgia

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

PSY003209 Issued in GA

Legal business name

CARE AND COUNSELING CENTER OF GEORGIA

Practice address

1814 Clairmont Rd
Decatur, GA 30033-3405

Phone

(404) 636-1457

Fax

(404) 636-7449

NPI assigned

Sep 12, 2008

Last updated

Sep 12, 2008By 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. Lynyetta Gittens Willis, PH.D., M.ED., N.C.C.

Title

Licensed Psychologist

Phone

(404) 636-1457

Specialties & licenses 1

Addresses

Tax ID family

Care and Counseling Center of Georgia2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Care & Counseling Center of Georgia

  • Counselor
  • Stone Mountain, GA
  • NPI 1831240290
  NPD tax ID

Locations

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

{
    "created_epoch": "1221177600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1221177600000",
    "number": "1578712766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1814 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333405",
            "telephone_number": "404-636-1457",
            "fax_number": "404-636-7449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1814 CLAIRMONT RD",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300333405",
            "telephone_number": "404-636-1457",
            "fax_number": "404-636-7449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE AND COUNSELING CENTER OF GEORGIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-12",
        "last_updated": "2008-09-12",
        "status": "A",
        "authorized_official_last_name": "WILLIS",
        "authorized_official_first_name": "LYNYETTA",
        "authorized_official_middle_name": "GITTENS",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST",
        "authorized_official_telephone_number": "404-636-1457",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., M.ED., N.C.C."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "PSY003209",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heidi Floyd Cantrell, PHARMD, BCPS
• David Cao, DC
• Yoana Nayeli Cardenas Rosillo
• Cardiology Consultants of Atlanta
• Keyana Cardoza
• Care and Counseling Center of Georgia, Inc.
• Care Counseling & Psychological Services, LLC (Crown Counseling & Psychological Services)
• Care Family Medical Center
• Care for You Homecare Services
• Care Right on Time LLC

• Community/Behavioral Health Agency in Decatur, GA
• Providers in Decatur, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 2008; 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.