Active NPI
United Branches Foundation LTD
- Professional Counselor
- Stockbridge, GA
National Provider Identifier
1790144988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC004526
- Legal business name
- UNITED BRANCHES FOUNDATION LTD
- Practice address
- 245 Country Club Dr
200H
Stockbridge, GA 30281-9080 - Phone
- (678) 435-9132
- Fax
- (844) 733-1154
- NPI assigned
- Feb 16, 2016
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kecia West, LPC
- Title
- Ceo
- Phone
- (678) 435-9132
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC004526 | GA | Primary |
Addresses
Primary practice location
245 Country Club Dr
200H
Stockbridge, GA 30281-9080
Mailing address
950 Eagles Landing Pkwy
257
Stockbridge, GA 30281
Phone (404) 769-8771
National Provider Directory
National Provider DirectoryLocations
245 Country Club Dr
Bldg 200H
Stockbridge, GA 30281
Phone (678) 435-9132
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1455580800000",
"number": "1790144988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "950 EAGLES LANDING PKWY",
"address_2": "257",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "30281",
"telephone_number": "404-769-8771",
"fax_number": "844-733-1154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "245 COUNTRY CLUB DR",
"address_2": "200H",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302819080",
"telephone_number": "678-435-9132",
"fax_number": "844-733-1154"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "UNITED BRANCHES FOUNDATION LTD",
"organizational_subpart": "NO",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A",
"authorized_official_last_name": "WEST",
"authorized_official_first_name": "KECIA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-435-9132",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC004526",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Stockbridge, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.