Organization Active NPI

Complete Life Counseling Services

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1912377185
Registry record updated Sep 30, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
LPC008225 Issued in GA
Legal business name
COMPLETE LIFE COUNSELING SERVICES
Practice address
160 Clairemont Ave
Suite 200
Decatur, GA 30030-2500
Phone
(678) 754-8000
Fax
(404) 920-2664
NPI assigned
Sep 30, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2015

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

Authorized official

Name
Ms. Maurice Christopher Hill, LPCNPI 1336534965
Title
Ceo
Phone
(678) 754-8000

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X LPC008225 GA Primary

Addresses

Primary practice location

160 Clairemont Ave
Suite 200
Decatur, GA 30030-2500

Mailing address

1333 Cedar Grove Rd
PO Box 311
Conley, GA 30288-2563
Phone (678) 754-8000

National Provider Directory

National Provider Directory

Locations

1333 Cedar Grove Rd
Unit 311
Conley, GA 30288

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1443571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1443571200000",
    "number": "1912377185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1333 CEDAR GROVE RD",
            "address_2": "PO BOX 311",
            "city": "CONLEY",
            "state": "GA",
            "postal_code": "302882563",
            "telephone_number": "678-754-8000",
            "fax_number": "404-920-2664"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 CLAIREMONT AVE",
            "address_2": "SUITE 200",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300302500",
            "telephone_number": "678-754-8000",
            "fax_number": "404-920-2664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE LIFE COUNSELING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-30",
        "last_updated": "2015-09-30",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "MAURICE",
        "authorized_official_middle_name": "CHRISTOPHER",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-754-8000",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC008225",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.