Active NPI
Laura Graham, LPC, LLC
- Professional Counselor
- Marietta, GA
National Provider Identifier
1902053176
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- 003312
- Legal business name
- LAURA GRAHAM, LPC, LLC
- Practice address
- 3750 Palladian Village Dr
Suite 100
Marietta, GA 30066-8200 - Phone
- (770) 592-0566
- NPI assigned
- Aug 19, 2008
- Last updated
- Aug 19, 2008
- 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
- Laura Anderson Graham, LPC
- Title
- Owner
- Phone
- (770) 592-0566
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | 003312 | GA | Primary |
Addresses
Primary practice location
3750 Palladian Village Dr
Suite 100
Marietta, GA 30066-8200
Mailing address
3750 Palladian Village Dr
Suite 100
Marietta, GA 30066-8200
Phone (770) 592-0566
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Mental Health Counselor
- Marietta, GA
- NPI 1336318104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1219104000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1219104000000",
"number": "1902053176",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3750 PALLADIAN VILLAGE DR",
"address_2": "SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300668200",
"telephone_number": "770-592-0566"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 PALLADIAN VILLAGE DR",
"address_2": "SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300668200",
"telephone_number": "770-592-0566"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LAURA GRAHAM, LPC, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-19",
"last_updated": "2008-08-19",
"status": "A",
"authorized_official_last_name": "GRAHAM",
"authorized_official_first_name": "LAURA",
"authorized_official_middle_name": "ANDERSON",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "770-592-0566",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": "GA",
"license": "003312",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.