Forward Strides Counseling LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC001655 Issued in GA

Legal business name

FORWARD STRIDES COUNSELING LLC

Practice address

110 Mansell Cir
Suite 301
Roswell, GA 30075-3799

Phone

(404) 790-9022

Fax

(678) 880-0279

NPI assigned

Aug 22, 2011

Last updated

Aug 22, 2011By 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

Gloria Mary Griffin, LPC

Title

Director

Phone

(404) 790-9022

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1313971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313971200000",
    "number": "1669752713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 MANSELL CIR",
            "address_2": "SUITE 301",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753799",
            "telephone_number": "404-790-9022",
            "fax_number": "678-880-0279"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 MANSELL CIR",
            "address_2": "SUITE 301",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300753799",
            "telephone_number": "404-790-9022",
            "fax_number": "678-880-0279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FORWARD STRIDES COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-22",
        "last_updated": "2011-08-22",
        "status": "A",
        "authorized_official_last_name": "GRIFFIN",
        "authorized_official_first_name": "GLORIA",
        "authorized_official_middle_name": "MARY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-790-9022",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC001655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Roswell, GA
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• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 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.