NPIMap

Organization Active NPI

Growth and Guidance Counseling LLC

  • Mental Health Counselor
  • Dacula, GA
National Provider Identifier
1720587579
Registry record updated Oct 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
6401013318 Issued in MI
Legal business name
GROWTH AND GUIDANCE COUNSELING LLC
Doing business as
Growth and Guidance Counseling
Practice address
2995 Old Peachtree Rd Apt 430
Dacula, GA 30019-2285
Phone
(470) 893-3593
Fax
(678) 691-4366
NPI assigned
Feb 7, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2023

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

Authorized official

Name
Portia Ileene Grimes, LPCNPI 1043600828
Title
Mental Health Counselor
Phone
(470) 939-3593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X 6401013318 MI Primary

Addresses

Primary practice location

2995 Old Peachtree Rd Apt 430
Dacula, GA 30019-2285

Mailing address

2995 Old Peachtree Rd Apt 430
Dacula, GA 30019-2285
Phone (470) 893-3593

Other practice location 1

1098 Ann Arbor Rd W Ste 549
Plymouth, MI 48170-2129
Phone (734) 883-1772

Other names 1

  • Growth and Guidance Counseling Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1517961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1720587579",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2995 OLD PEACHTREE RD APT 430",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192285",
            "telephone_number": "470-893-3593",
            "fax_number": "678-691-4366"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2995 OLD PEACHTREE RD APT 430",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300192285",
            "telephone_number": "470-893-3593",
            "fax_number": "678-691-4366"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1098 Ann Arbor Rd W Ste 549",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "MI",
            "postal_code": "481702129",
            "country_code": "US",
            "telephone_number": "734-883-1772",
            "fax_number": "734-453-0815",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GROWTH AND GUIDANCE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-07",
        "last_updated": "2023-10-04",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "GRIMES",
        "authorized_official_first_name": "PORTIA",
        "authorized_official_middle_name": "ILEENE",
        "authorized_official_title_or_position": "MENTAL HEALTH COUNSELOR",
        "authorized_official_telephone_number": "470-939-3593",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "MI",
            "license": "6401013318",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Growth and Guidance Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Dacula, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 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.