Active NPI
Manifestation Counseling Service, LLC
- Professional Counselor
- Columbus, GA
National Provider Identifier
1912747239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- Legal business name
- MANIFESTATION COUNSELING SERVICE, LLC
- Practice address
- 1425 Wynnton Rd Ste a
Columbus, GA 31906-5718 - Phone
- (706) 329-3432
- NPI assigned
- May 27, 2024
- 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
- Sontoria Coleman
- Title
- Admin
- Phone
- (706) 329-3432
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary |
Addresses
Primary practice location
1425 Wynnton Rd Ste a
Columbus, GA 31906-5718
Mailing address
1425 Wynnton Rd Ste a
Columbus, GA 31906-5718
Phone (706) 329-3432
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1716768000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1717545600000",
"number": "1912747239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1425 WYNNTON RD STE A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319065718",
"telephone_number": "706-329-3432"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1425 WYNNTON RD STE A",
"city": "COLUMBUS",
"state": "GA",
"postal_code": "319065718",
"telephone_number": "706-329-3432"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "MANIFESTATION COUNSELING SERVICE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-05-27",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A",
"authorized_official_last_name": "COLEMAN",
"authorized_official_first_name": "SONTORIA",
"authorized_official_title_or_position": "ADMIN",
"authorized_official_telephone_number": "706-329-3432"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Counselor, Professional",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.