Active NPI
Latisha McWilliams
- Community/Behavioral Health Agency
- Stone Mountain, GA
National Provider Identifier
1881077659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- License
- LPC006463
- Legal business name
- LATISHA MCWILLIAMS
- Practice address
- 4346 Crestridge LN
Stone Mountain, GA 30083-6104 - Phone
- (205) 213-5927
- NPI assigned
- Jun 29, 2015
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Latisha McWilliams, MA, MAED, LPC
- Title
- Licensed Professional Counselor
- Phone
- (205) 213-5927
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC006463 | GA | Primary |
Addresses
Primary practice location
4346 Crestridge LN
Stone Mountain, GA 30083-6104
Mailing address
4346 Crestridge LN
Stone Mountain, GA 30083-6104
Phone (205) 213-5927
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1435536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1435536000000",
"number": "1881077659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4346 CRESTRIDGE LN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300836104",
"telephone_number": "205-213-5927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4346 CRESTRIDGE LN",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300836104",
"telephone_number": "205-213-5927"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LATISHA MCWILLIAMS",
"organizational_subpart": "NO",
"enumeration_date": "2015-06-29",
"last_updated": "2015-06-29",
"status": "A",
"authorized_official_last_name": "MCWILLIAMS",
"authorized_official_first_name": "LATISHA",
"authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
"authorized_official_telephone_number": "205-213-5927",
"authorized_official_credential": "MA, MAED, LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "LPC006463",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.