Transitional Counseling of Georgia, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008814 Issued in GA

Legal business name

TRANSITIONAL COUNSELING OF GEORGIA, LLC

Practice address

165 Dekalb Industrial Way
Suite G-3
Decatur, GA 30030-2230

Phone

(770) 361-4627

Fax

(770) 995-1959

NPI assigned

Jul 11, 2016

Organization subpart

No

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

Authorized official

Name

Lynette Clark

Title

Office Manager

Phone

(770) 339-7667

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Jillian Blum, LPC

  • Professional Counselor
  • Decatur, GA
  • NPI 1184076481
  NPD

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

{
    "created_epoch": "1468195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666569600000",
    "number": "1760834071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3442 KENSINGTON PARC CIR",
            "city": "AVONDALE ESTATES",
            "state": "GA",
            "postal_code": "300021779",
            "telephone_number": "770-361-4627",
            "fax_number": "770-995-1959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 DEKALB INDUSTRIAL WAY",
            "address_2": "SUITE G-3",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302230",
            "telephone_number": "770-361-4627",
            "fax_number": "770-995-1959"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSITIONAL COUNSELING OF GEORGIA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-11",
        "last_updated": "2022-10-24",
        "certification_date": "2022-10-24",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "LYNETTE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "770-339-7667"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Transition Performance Group
• Transitional Care LLC
• Transitions Recovery Center
• Transitions Services LLC
• Leslie Farrell Tranter, MS, RD, LD, CDE
• Terri Michaela Traub Mann, MD
• Jeff A Traub, MD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2022; 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.