Organization Active NPI

Renee Caverly-Gillett Counseling Services, LLC

  • Professional Counselor
  • Lagrange, GA
National Provider Identifier
1629601125
Registry record updated Oct 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RENEE CAVERLY-GILLETT COUNSELING SERVICES, LLC
Practice address
406 Ridley Ave
Lagrange, GA 30240-2232
Phone
(678) 850-4261
NPI assigned
Feb 13, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2022

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

Authorized official

Name
Sheila Renee Caverly-Gillett, LPCNPI 1215470976
Title
Owner
Phone
(678) 850-4261

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X Primary

Addresses

Primary practice location

406 Ridley Ave
Lagrange, GA 30240-2232

Mailing address

10247 Highway 92 Unit 2-301
Woodstock, GA 30188-3935
Phone (678) 850-4261

National Provider Directory

National Provider Directory

Locations

406 Ridley Ave
Lagrange, GA 30240
Phone (706) 302-1658

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": "1581552000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1629601125",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10247 HIGHWAY 92 UNIT 2-301",
            "city": "WOODSTOCK",
            "state": "GA",
            "postal_code": "301883935",
            "telephone_number": "678-850-4261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "406 RIDLEY AVE",
            "city": "LAGRANGE",
            "state": "GA",
            "postal_code": "302402232",
            "telephone_number": "678-850-4261"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RENEE CAVERLY-GILLETT COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-02-13",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "CAVERLY-GILLETT",
        "authorized_official_first_name": "SHEILA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-850-4261",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lagrange, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.