Organization Active NPI

Casa Luisa Inc.

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1619273638
Registry record updated Feb 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC006300 Issued in GA
Legal business name
CASA LUISA INC.
Practice address
2696 Autumn Lake LN
Decatur, GA 30034-3582
Phone
(404) 503-5752
NPI assigned
Feb 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2011

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

Authorized official

Name
Miss Rosa Fitzhugh, LPC
Title
Ceo
Phone
(404) 503-5752

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC006300 GA Primary

Addresses

Primary practice location

2696 Autumn Lake LN
Decatur, GA 30034-3582

Mailing address

2696 Autumn Lake LN
Decatur, GA 30034-3582

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1297209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1297209600000",
    "number": "1619273638",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2696 AUTUMN LAKE LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343582"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2696 AUTUMN LAKE LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300343582",
            "telephone_number": "404-503-5752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CASA LUISA INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-09",
        "last_updated": "2011-02-09",
        "status": "A",
        "authorized_official_last_name": "FITZHUGH",
        "authorized_official_first_name": "ROSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-503-5752",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC006300",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2011; 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.