Muslimah Consultation Group, Inc.

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

MUSLIMAH CONSULTATION GROUP, INC.

Practice address

3300 Memorial Dr Ste D1
Decatur, GA 30032-2700

Phone

(404) 663-1135

Fax

(888) 678-1435

NPI assigned

Oct 6, 2014

Organization subpart

No

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

Authorized official

Name

Ms. Taryn L. Siddiq, MSW, CWSMT,CMHFAT,

Title

Founder/Executive Director

Phone

(404) 663-1135

Specialties & licenses 1

Addresses

Other names 1

• MCG, Inc. Other name

Locations

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

{
    "created_epoch": "1412553600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1412553600000",
    "number": "1609279538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1785 E PARK PLACE BLVD STE 201",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300873458",
            "telephone_number": "404-663-1135",
            "fax_number": "888-678-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3300 MEMORIAL DR STE D1",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322700",
            "telephone_number": "404-663-1135",
            "fax_number": "888-678-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSLIMAH CONSULTATION GROUP, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-06",
        "last_updated": "2014-10-06",
        "status": "A",
        "authorized_official_last_name": "SIDDIQ",
        "authorized_official_first_name": "TARYN",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "FOUNDER/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "404-663-1135",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MSW, CWSMT,CMHFAT,"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MCG, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2014; 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.