Organization Active NPI

Layne Center for Therapy, Education, and Assessment

  • Mental Health Counselor
  • Fayetteville, GA
National Provider Identifier
1912373051
Registry record updated Aug 12, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
LPC008253 Issued in GA
Legal business name
LAYNE CENTER FOR THERAPY, EDUCATION, AND ASSESSMENT
Practice address
805 S. Glynn St
Ste 127 #322
Fayetteville, GA 30214-2000
Phone
(404) 922-1245
NPI assigned
Aug 12, 2015
Last updated
Aug 12, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2015

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

Authorized official

Name
Dr. Corey Layne
Title
Director
Phone
(404) 922-1245

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X LPC008253 GA Primary

Addresses

Primary practice location

805 S. Glynn St
Ste 127 #322
Fayetteville, GA 30214-2000

Mailing address

805 S. Glynn St
Ste 127 #322
Fayetteville, GA 30214-2000
Phone (404) 922-1245

National Provider Directory

National Provider Directory

Practitioners & 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.

NPI Registry JSON

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

{
    "created_epoch": "1439337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1439337600000",
    "number": "1912373051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "805 S. GLYNN ST",
            "address_2": "STE 127 #322",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142000",
            "telephone_number": "404-922-1245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "805 S. GLYNN ST",
            "address_2": "STE 127 #322",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142000",
            "telephone_number": "404-922-1245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LAYNE CENTER FOR THERAPY, EDUCATION, AND ASSESSMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-12",
        "last_updated": "2015-08-12",
        "status": "A",
        "authorized_official_last_name": "LAYNE",
        "authorized_official_first_name": "COREY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-922-1245",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC008253",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.