Chantay Golson

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

CHANTAY GOLSON

Doing business as

Purpose Community Therapeutic Services, LLC

Practice address

1031 Railroad St NW
Suite B
Conyers, GA 30012-5108

Phone

(770) 280-7288

Fax

(770) 983-6098

NPI assigned

Feb 12, 2013

Organization subpart

No

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

Authorized official

Name

Chantay Golson, LPC

Title

Owner

Phone

(770) 280-7288

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Purpose Community Therapeutic Services, LLC Doing business as

Tax ID family

Chantay Golson3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Chantay Golson

  dba Purpose Community Therapeutic Services, LLC

  • Professional Counselor
  • Atlanta, GA
  • NPI 1063751014
  NPD tax ID
• Purpose Community Therapeutic Services, LLC

  • Professional Counselor
  • Villa Rica, GA
  • NPI 1851632376
  NPD tax ID

Locations

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

{
    "created_epoch": "1360627200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1373328000000",
    "number": "1700125754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "242 FAIRFIELD RD",
            "city": "VILLA RICA",
            "state": "GA",
            "postal_code": "301803804",
            "telephone_number": "770-280-7288",
            "fax_number": "770-983-6098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 RAILROAD ST NW",
            "address_2": "SUITE B",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125108",
            "telephone_number": "770-280-7288",
            "fax_number": "770-983-6098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHANTAY GOLSON",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-12",
        "last_updated": "2013-07-09",
        "status": "A",
        "authorized_official_last_name": "GOLSON",
        "authorized_official_first_name": "CHANTAY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-280-7288",
        "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": "003126621A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Purpose Community Therapeutic Services, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Veronica Chambliss, CRNA
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• Champions Nursing Services, LLC (Grace Hospice Care)
• Andre Chapman
• Jeanna Chapman, MSW
• Nondi C Chappell, M. ED CCC-SLP
• Chariot Medical Transport Services, LLC
• Janice Chatman-Jarrett, REGISTERED NURSE

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 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.