Active NPI
Renee Caverly-Gillett Counseling Services, LLC
- Professional Counselor
- Lagrange, GA
National Provider Identifier
1629601125
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Renee Caverly-Gillett, LPC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 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 DirectoryLocations
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.