Double Therapy, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

DOUBLE THERAPY, LLC

Practice address

103 Gray Fox Xing
Bonaire, GA 31005-3398

Phone

(478) 955-2699

NPI assigned

Mar 27, 2023

Organization subpart

No

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

Authorized official

Name

Mrs. Kimberly Michelle Grace, LPCNPI 1437728409

Title

Owner/Licensed Counselor

Phone

(478) 955-2699

Specialties & licenses 1

Addresses

Other names 1

• Double Therapy, LLC Other name

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kimberly Michelle Grace, LPC

  • Professional Counselor
  • Bonaire, GA
  • NPI 1437728409
  NPD Authorized official

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

{
    "created_epoch": "1679875200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1679875200000",
    "number": "1700580784",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 GRAY FOX XING",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053398",
            "telephone_number": "478-955-2699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GRAY FOX XING",
            "city": "BONAIRE",
            "state": "GA",
            "postal_code": "310053398",
            "telephone_number": "478-955-2699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUBLE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-27",
        "last_updated": "2023-03-27",
        "certification_date": "2023-03-27",
        "status": "A",
        "authorized_official_last_name": "GRACE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OWNER/LICENSED COUNSELOR",
        "authorized_official_telephone_number": "478-955-2699",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Double Therapy, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Anh Dang, DMD
• Davis Dental Care LLC
• Ryan R Davis, D.M.D.
• Lana Alden Dellinger, DPT
• Kimberly Denson, LCSW
• Linda Dyer, RPH
• Chukwuemeka J Ezuruonye, RN
• Duane Ollie Fields
• Ashley Berlin Foster, LPC
• Judith Foster, LCSW-C

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2023; 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.