Affirm Wellness

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

AFFIRM WELLNESS

Practice address

5036 Snapfinger Woods Dr Ste 201
Decatur, GA 30035-4039

Phone

(770) 580-3992

NPI assigned

Oct 12, 2018

Organization subpart

No

Name

Deshona Charles, LPCNPI 1336624048

Title

Co-Owner/Service Provider

Phone

(770) 580-3992

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

• Deshona Charles, LPC

  • Professional Counselor
  • Decatur, GA
  • NPI 1336624048

  Professional

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 29, 2018.

{
    "created_epoch": "1539302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1540771200000",
    "number": "1780159095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5036 SNAPFINGER WOODS DR STE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354039",
            "telephone_number": "770-580-3992"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5036 SNAPFINGER WOODS DR STE 201",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300354039",
            "telephone_number": "770-580-3992"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AFFIRM WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-12",
        "last_updated": "2018-10-29",
        "status": "A",
        "authorized_official_last_name": "CHARLES",
        "authorized_official_first_name": "DESHONA",
        "authorized_official_title_or_position": "CO-OWNER/SERVICE PROVIDER",
        "authorized_official_telephone_number": "770-580-3992",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2018; 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.