A New Direction Counseling and Support Services LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

0556692 Issued in GA

Legal business name

A NEW DIRECTION COUNSELING AND SUPPORT SERVICES LLC

Practice address

3675 Crestwood Pkwy NW
4TH Floor, Suite# 401
Duluth, GA 30096-1805

Phone

(404) 421-9409

NPI assigned

May 8, 2013

Last updated

May 8, 2013By 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

Miss Laquandra C Muomah

Title

LLC Member

Phone

(404) 421-9409

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1367971200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1367971200000",
    "number": "1679918270",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 CRESTWOOD PKWY NW",
            "address_2": "4TH FLOOR, SUITE# 401",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961805",
            "telephone_number": "404-421-9409"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 CRESTWOOD PKWY NW",
            "address_2": "4TH FLOOR, SUITE# 401",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300961805",
            "telephone_number": "404-421-9409"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "A NEW DIRECTION COUNSELING AND SUPPORT SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-08",
        "last_updated": "2013-05-08",
        "status": "A",
        "authorized_official_last_name": "MUOMAH",
        "authorized_official_first_name": "LAQUANDRA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "LLC MEMBER",
        "authorized_official_telephone_number": "404-421-9409",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "0556692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Duluth, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2013; 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.