Project Reach Back Consultants LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

PROJECT REACH BACK CONSULTANTS LLC

Practice address

1624 Emerald Ave SW
Atlanta, GA 30310-1510

Phone

(678) 670-8434

NPI assigned

Jan 23, 2014

Organization subpart

No

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

Authorized official

Name

Miss Jessica Deboyia LawrenceNPI 1891122230

Title

Chief Executive Consultant

Phone

(678) 670-8434

Specialties & licenses 2

Addresses

Practitioners 1

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

• Jessica Deboyia Lawrence

  • Counselor
  • Atlanta, GA
  • NPI 1891122230
  NPD (past) Authorized official

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

{
    "created_epoch": "1390435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1760805980",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1624 EMERALD AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101510",
            "telephone_number": "678-670-8434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1624 EMERALD AVE SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303101510",
            "telephone_number": "678-670-8434"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROJECT REACH BACK CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-01-23",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_middle_name": "DEBOYIA",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE CONSULTANT",
        "authorized_official_telephone_number": "678-670-8434",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.