Shadow Horse Counseling, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

SHADOW HORSE COUNSELING, LLC

Practice address

5700 Spring St
Warm Springs, GA 31830-2164

Phone

(229) 310-1844

NPI assigned

Dec 16, 2020

Last updated

Dec 16, 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

Marjorie ReeseNPI 1023676459

Title

Owner

Phone

(229) 310-1844

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.

• Marjorie L Reese, LPC

  • Mental Health Counselor
  • Pine Mountain Valley, GA
  • NPI 1023676459
  NPD Authorized official

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

{
    "created_epoch": "1608076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1608076800000",
    "number": "1891381620",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 84",
            "city": "PINE MOUNTAIN VALLEY",
            "state": "GA",
            "postal_code": "318230084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 SPRING ST",
            "city": "WARM SPRINGS",
            "state": "GA",
            "postal_code": "318302164",
            "telephone_number": "229-310-1844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHADOW HORSE COUNSELING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-16",
        "last_updated": "2020-12-16",
        "certification_date": "2020-12-16",
        "status": "A",
        "authorized_official_last_name": "REESE",
        "authorized_official_first_name": "MARJORIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "229-310-1844"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kelly J Rice, OTRL
• Rhett Anthony Roberson, DPT
• Carnell Durrel Roberts Jr.
• Roosevelt Warm Springs Rehabilitation & Specialty Hospitals (Roosevelt Warm Springs Hospitalist)
• S&D Personal Care Services
• Ashley Smith, FNP-C
• Kathryn Ann Smith, PT
• Southern Crescent Nurse Anesthesia LLC
• Kim Hui Tay, PHD
• The Lawand Inc. (Roosevelt Place)

• Professional Counselor in Warm Springs, GA
• Providers in Warm Springs, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 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.