Beyond Counseling and Wellness, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005532 Issued in GA

Legal business name

BEYOND COUNSELING AND WELLNESS, LLC

Practice address

495 Abbotts Mill Dr
Duluth, GA 30097-8431

Phone

(770) 742-9412

NPI assigned

Aug 17, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Jermaine Antonio Wall, LCSW

Title

Licensed Clinical Social Worker

Phone

(407) 694-8704

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1439769600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440028800000",
    "number": "1720454572",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "495 ABBOTTS MILL DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978431",
            "telephone_number": "770-742-9412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "495 ABBOTTS MILL DR",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300978431",
            "telephone_number": "770-742-9412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEYOND COUNSELING AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-17",
        "last_updated": "2015-08-20",
        "status": "A",
        "authorized_official_last_name": "WALL",
        "authorized_official_first_name": "JERMAINE",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "407-694-8704",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005532",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Nichole Best, PHD, BCBA-D
• Barbara Betancourt, DC
• Jessica Bethea
• Bethel Eyecare
• Joan McKee Beverly, CFNP
• Khafayat Bhadmos
• Bhanja Enterprises LLC
• Partha Bhanja
• Neena Bhatia
• Sunil Bhole, MD

• Clinical Social Worker in Duluth, GA
• Providers in Duluth, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2015; 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.