Away Out, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC2759 Issued in GA

Legal business name

AWAY OUT, INC.

Practice address

416 12TH St Ste 202
Columbus, GA 31901-2558

Phone

(706) 653-0068

NPI assigned

Jun 3, 2010

Last updated

Jun 3, 2010By the provider in NPPES

Organization subpart

Yes

Parent organization

AWAY OUT, INC.As reported in NPPES

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

Authorized official

Name

Mr. Eddie D Powell, LPC

Title

Ceo

Phone

(706) 653-0068

Specialties & licenses 2

Addresses

Part of

Away Out Inc

Locations

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1275523200000",
    "number": "1831419639",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "416 12TH STREET SUITE 202",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "31901",
            "telephone_number": "706-653-0068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "416 12TH ST STE 202",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012558",
            "telephone_number": "706-653-0068"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AWAY OUT, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "AWAY OUT, INC.",
        "enumeration_date": "2010-06-03",
        "last_updated": "2010-06-03",
        "status": "A",
        "authorized_official_last_name": "POWELL",
        "authorized_official_first_name": "EDDIE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-653-0068",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": "LPC2759",
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC2759",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Denise Michelle Averett, CEO
• Devonte Bernard Averett
• Marie Ellen Avery
• Aviana LLC
• Ken Yangyang Avila, APRN, FNP-C
• Charity Ayantade, RBT
• Juan Ayerdi, MD
• Camryn Ayers
• Kimberley Anne Ayers
• Naomi Ayoade

• Community/Behavioral Health Agency in Columbus, GA
• Providers in Columbus, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2010; 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.