West Cobb Marriage & Family Counseling, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

000339 Issued in GA

Legal business name

WEST COBB MARRIAGE & FAMILY COUNSELING, INC.

Practice address

2645 Dallas Hwy SW
Ste. 210
Marietta, GA 30064-7577

Phone

(404) 266-3535

Fax

(770) 872-0525

NPI assigned

Jun 22, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Deanna Poff-Lanier, M.ED, LMFT, LPC

Title

Owner

Phone

(404) 266-3535

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1308700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308700800000",
    "number": "1770879314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2645 DALLAS HWY SW",
            "address_2": "STE. 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647577",
            "telephone_number": "404-266-3535",
            "fax_number": "770-872-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2645 DALLAS HWY SW",
            "address_2": "STE. 210",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300647577",
            "telephone_number": "404-266-3535",
            "fax_number": "770-872-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST COBB MARRIAGE & FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-22",
        "last_updated": "2011-06-22",
        "status": "A",
        "authorized_official_last_name": "POFF-LANIER",
        "authorized_official_first_name": "DEANNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-266-3535",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.ED, LMFT, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "000918",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "000339",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Marietta, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2011; 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.