Resiliency Behavioral Health Services LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

RESILIENCY BEHAVIORAL HEALTH SERVICES LLC

Doing business as

Charles J Popov

Practice address

145 Govenors Square
Ste a
Fayetteville, GA 30269

Phone

(770) 668-3130

Fax

(267) 295-2834

NPI assigned

Feb 6, 2019

Organization subpart

No

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

Authorized official

Name

Charles Joseph Popov, LPCNPI 1518261908

Title

Licensed Professional Counselor

Phone

(770) 668-3130

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Charles J Popov Doing business as

Practitioners 1

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

• Charles J. Popov, LPC

  • Professional Counselor
  • Peachtree City, GA
  • NPI 1518261908
  NPD (past) Authorized official

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

{
    "created_epoch": "1549411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549411200000",
    "number": "1689139362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 302",
            "city": "TURIN",
            "state": "GA",
            "postal_code": "302890302",
            "telephone_number": "770-668-3130",
            "fax_number": "267-295-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 GOVENORS SQUARE",
            "address_2": "STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "30269",
            "telephone_number": "770-668-3130",
            "fax_number": "267-295-2834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENCY BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-06",
        "last_updated": "2019-02-06",
        "status": "A",
        "authorized_official_last_name": "POPOV",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JOSEPH",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "770-668-3130",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003104588",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Charles J Popov",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Professional Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2019; 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.