Alzirene Campos Faubion, M.A.

Primary specialty

CounselorTaxonomy code 101Y00000X

License

LPC006470 Issued in GA

Practice address

105 Governors SQ
Suite 602
Peachtree City, GA 30269-4866

Phone

(678) 925-3306

Fax

(678) 985-4855

NPI assigned

Mar 26, 2007

Last updated

Nov 30, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Faubion Therapy Center Inc

  • Counselor
  • Peachtree City, GA
  • NPI 1700249810
  Authorized official Same address or phone

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

{
    "created_epoch": "1174867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480464000000",
    "number": "1851419188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 GOVERNORS SQ",
            "address_2": "SUITE 602",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694866",
            "telephone_number": "678-925-3306",
            "fax_number": "678-985-4855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "105 GOVERNORS SQ",
            "address_2": "SUITE 602",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302694866",
            "telephone_number": "678-925-3306",
            "fax_number": "678-985-4855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FAUBION",
        "first_name": "ALZIRENE",
        "middle_name": "CAMPOS",
        "name_prefix": "Mrs.",
        "credential": "M.A.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-03-26",
        "last_updated": "2016-11-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC006470",
            "primary": true
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006470-APT-T-1972",
            "primary": false
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Famo Healthcare Services II LLC (Ellie Mental Health Peachtree City)
• Famo Healthcare Services III LLC
• Meghan Elle Farmer
• William Chase Farmer
• Faubion Therapy Center Inc
• Thomas Bond Faulkner, M.D., M.H.A.
• Frank R. Faunce, D.D.S.
• Fayette Chiropractic Center, Inc
• Fayette County Nursing Home LLC (Southland Health and Rehabilitation)
• Fayette Partners LLC (ACASA Senior Care)

• Counselor in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.

Verify at the official NPI Registry.