Organization Active NPI

Alere Trauma Counseling, LLC

  • Group Psychotherapy Psychologist
  • Buford, GA
National Provider Identifier
1861397333
Registry record updated Oct 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Group Psychotherapy PsychologistTaxonomy code 103TP2701X
Legal business name
ALERE TRAUMA COUNSELING, LLC
Practice address
4152 Copper Creek Way
Buford, GA 30519-7428
Phone
(770) 543-8132
NPI assigned
Oct 13, 2026
Last updated
Oct 13, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 13, 2026

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

Authorized official

Name
Dr. Laurri Wallace, PT, DPT
Title
Owner
Phone
(770) 543-8132

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Group Psychotherapy Psychologist 103TP2701X Primary

Addresses

Primary practice location

4152 Copper Creek Way
Buford, GA 30519-7428

Mailing address

4152 Copper Creek Way
Buford, GA 30519-7428
Phone (770) 543-8132

NPI Registry JSON

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

{
    "created_epoch": "1791849600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791849600000",
    "number": "1861397333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4152 COPPER CREEK WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197428",
            "telephone_number": "770-543-8132"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4152 COPPER CREEK WAY",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305197428",
            "telephone_number": "770-543-8132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALERE TRAUMA COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-13",
        "last_updated": "2026-10-13",
        "certification_date": "2026-10-13",
        "status": "A",
        "authorized_official_last_name": "WALLACE",
        "authorized_official_first_name": "LAURRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-543-8132",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.