Organization Active NPI

Muse Counseling, LLC

  • Preferred Provider Organization
  • Canton, GA
National Provider Identifier
1730635400
Registry record updated Aug 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
LPC009109 Issued in GA
Legal business name
MUSE COUNSELING, LLC
Practice address
113 Mountain Brook Dr
Suite 108
Canton, GA 30115-9057
Phone
(678) 234-7999
NPI assigned
Aug 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2016

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

Authorized official

Name
Mrs. Montakia Princess Dance, LPCNPI 1184013922
Title
Owner
Phone
(678) 234-7999

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
Preferred Provider Organization 305R00000X LPC009109 GA Primary

Addresses

Primary practice location

113 Mountain Brook Dr
Suite 108
Canton, GA 30115-9057

Mailing address

627 River Bend Way
Canton, GA 30114-5838
Phone (678) 234-7999

National Provider Directory

National Provider Directory

Locations

113 Mountain Brook Dr
Ste 108
Canton, GA 30115
Phone (404) 354-1412

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": "1472601600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472601600000",
    "number": "1730635400",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "627 RIVER BEND WAY",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301145838",
            "telephone_number": "678-234-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "113 MOUNTAIN BROOK DR",
            "address_2": "SUITE 108",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301159057",
            "telephone_number": "678-234-7999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MUSE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-31",
        "last_updated": "2016-08-31",
        "status": "A",
        "authorized_official_last_name": "DANCE",
        "authorized_official_first_name": "MONTAKIA",
        "authorized_official_middle_name": "PRINCESS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-234-7999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "GA",
            "license": "LPC009109",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2016; 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.