Early Connections Child & Family Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008408 Issued in GA

Legal business name

EARLY CONNECTIONS CHILD & FAMILY COUNSELING, LLC

Practice address

10929 Crabapple Rd
Suite 102a
Roswell, GA 30075-7657

Phone

(678) 824-2768

NPI assigned

Aug 11, 2015

Organization subpart

No

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

Authorized official

Name

Lauren Brown, LPC

Title

Registered Agent

Phone

(678) 824-2768

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1439251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439251200000",
    "number": "1740656909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10929 CRABAPPLE RD",
            "address_2": "SUITE 102A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757657",
            "telephone_number": "678-824-2768"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10929 CRABAPPLE RD",
            "address_2": "SUITE 102A",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757657",
            "telephone_number": "678-824-2768"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EARLY CONNECTIONS CHILD & FAMILY COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-11",
        "last_updated": "2015-08-11",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LAUREN",
        "authorized_official_title_or_position": "REGISTERED AGENT",
        "authorized_official_telephone_number": "678-824-2768",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008408",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 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.