By Grace Counseling LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

Legal business name

BY GRACE COUNSELING LLC

Practice address

100 Hemingway LN
Roswell, GA 30075-7024

Phone

(470) 765-8393

NPI assigned

Jul 14, 2020

Last updated

Jul 14, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Tisa Macklin-Stanley

Title

Provider

Phone

(404) 827-8038

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Rudi Maria Coleman, L.C.S.W.

  • Clinical Social Worker
  • Marietta, GA
  • NPI 1730609850
  NPD

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

{
    "created_epoch": "1594684800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594684800000",
    "number": "1841808060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "734 HEMINGWAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HEMINGWAY LN",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300757024",
            "telephone_number": "470-765-8393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BY GRACE COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-14",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A",
        "authorized_official_last_name": "MACKLIN-STANLEY",
        "authorized_official_first_name": "TISA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "404-827-8038",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nia Burton
• Steven Bush
• Courtney Lynn Busha
• Aldo Jose Bustamante
• Roy Lynn Butler, M.S.
• Ilyasah Byfield, MSN, FNP-BC
• Jasmine Byrd
• Marcia V Byrd, MD
• Vanessa Epps Byrd, RPT
• C&a Counseling, LLC

• Adult Mental Health Clinic/Center in Roswell, GA
• Providers in Roswell, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.