Organization Active NPI

Latisha McWilliams

  • Community/Behavioral Health Agency
  • Stone Mountain, GA
National Provider Identifier
1881077659
Registry record updated Jun 29, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC006463 Issued in GA
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

Updated by the provider on Jun 29, 2015

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)CodeLicenseStatePrimary
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 Directory

NPI 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.

Verify at the official NPI Registry.