Organization Active NPI

Lac Therapy, LLC

  • Professional Counselor
  • Lawrenceville, GA
National Provider Identifier
1811486574
Registry record updated Aug 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC005632 Issued in GA
Legal business name
LAC THERAPY, LLC
Practice address
265 W Pike St Ste 4
Lawrenceville, GA 30046-4896
Phone
(404) 314-6168
Fax
(678) 407-4444
NPI assigned
May 8, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2022

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

Authorized official

Name
Laura Cochling, LPCNPI 1538392048
Title
Owner
Phone
(404) 314-6168

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC005632 GA Primary

Addresses

Primary practice location

265 W Pike St Ste 4
Lawrenceville, GA 30046-4896

Mailing address

2090A Highway 317 Ste 276
Suwanee, GA 30024-2623
Phone (404) 314-6168

National Provider Directory

National Provider Directory

Locations

2090 Highway 317
Ste 276
Suwanee, GA 30024

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1525737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660867200000",
    "number": "1811486574",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2090A HIGHWAY 317 STE 276",
            "city": "SUWANEE",
            "state": "GA",
            "postal_code": "300242623",
            "telephone_number": "404-314-6168",
            "fax_number": "678-407-4444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "265 W PIKE ST STE 4",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300464896",
            "telephone_number": "404-314-6168",
            "fax_number": "678-407-4444"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-08",
        "last_updated": "2022-08-19",
        "certification_date": "2022-08-19",
        "status": "A",
        "authorized_official_last_name": "COCHLING",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-314-6168",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC005632",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 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.