Organization Active NPI

Graham Counseling and Consultation LLC

  • Clinical Social Worker
  • Marietta, GA
National Provider Identifier
1942842430
Registry record updated Oct 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
GRAHAM COUNSELING AND CONSULTATION LLC
Practice address
707 Whitlock Ave SW Ste 28
Marietta, GA 30064-3000
Phone
(404) 643-6205
NPI assigned
Oct 16, 2019
Last updated
Oct 16, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2019

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

Authorized official

Name
Heather Joie Graham, LCSWNPI 1740686757
Title
Owner
Phone
(404) 643-6205

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
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

707 Whitlock Ave SW Ste 28
Marietta, GA 30064-3000

Mailing address

2420 Elmhurst Blvd NW
Kennesaw, GA 30152-6008
Phone (404) 643-6205

National Provider Directory

National Provider Directory

Locations

707 Whitlock Ave SW
Ste 28
Marietta, GA 30064
Phone (404) 643-6205

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": "1571184000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571184000000",
    "number": "1942842430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2420 ELMHURST BLVD NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301526008",
            "telephone_number": "404-643-6205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE 28",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643000",
            "telephone_number": "404-643-6205"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRAHAM COUNSELING AND CONSULTATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-16",
        "last_updated": "2019-10-16",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "JOIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-643-6205",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "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 Oct 16, 2019; 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.