Ikestines Family Solution

Primary specialty

Pastoral CounselorTaxonomy code 101YP1600X

Legal business name

IKESTINES FAMILY SOLUTION

Practice address

22 Calico LN
Fort Valley, GA 31030-7202

Phone

(478) 457-6005

NPI assigned

Sep 30, 2019

Last updated

Sep 30, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Ms. Isiahia Guyton

Title

Owner/Operator

Phone

(478) 457-6005

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1569801600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1770124943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 CALICO LN",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310307202",
            "telephone_number": "478-457-6005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "22 CALICO LN",
            "city": "FORT VALLEY",
            "state": "GA",
            "postal_code": "310307202",
            "telephone_number": "478-457-6005"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IKESTINES FAMILY SOLUTION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-30",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "GUYTON",
        "authorized_official_first_name": "ISIAHIA",
        "authorized_official_title_or_position": "OWNER/OPERATOR",
        "authorized_official_telephone_number": "478-457-6005",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YP1600X",
            "taxonomy_group": "",
            "desc": "Counselor, Pastoral",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "IKESTINES.COM",
            "affiliation": "N",
            "endpointDescription": "WORK EMAIL",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "22 Calico Ln",
            "city": "Fort Valley",
            "state": "GA",
            "country_code": "US",
            "postal_code": "310307202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Healthstat Onsite HSM Fort Valley
• Mackenzie B Hendricks
• Vanessa Hernandez, APRN
• Beverly W Hicks, RN
• Ethel Hillman
• JBC Assisted Living Group Home
• Chaka Johnson
• Janette Johnson
• Seth Johnson, DPT
• Tamikica Levette Johnson, RBT

• Pastoral Counselor in Fort Valley, GA
• Providers in Fort Valley, GA by specialty
• Pastoral Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2019; 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.