Insideout Dynamics, Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC003094 Issued in GA

Legal business name

INSIDEOUT DYNAMICS, INC.

Practice address

130 Governors SQ Ste a
Fayetteville, GA 30215-4862

Phone

(678) 364-1300

Fax

(678) 364-1352

NPI assigned

Sep 20, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Linda C Weigand, M.A,, L.P.C.NPI 1689831448

Title

Owner / Professional Counselor

Phone

(678) 364-1300

Specialties & licenses 1

Addresses

Practitioners 2

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.

• Linda C Weigand, LPC

  • Professional Counselor
  • Fayetteville, GA
  • NPI 1689831448
  Authorized official Same address or phone
• Joy Lynn Conklin, M.S., LPC, NCC, NSCC

  • Professional Counselor
  • Fayetteville, GA
  • NPI 1134452485
  NPD (past)

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952408213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 GOVERNORS SQ STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154862",
            "telephone_number": "678-364-1300",
            "fax_number": "678-364-1352"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 GOVERNORS SQ STE A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302154862",
            "telephone_number": "678-364-1300",
            "fax_number": "678-364-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSIDEOUT DYNAMICS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "WEIGAND",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER / PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "678-364-1300",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.A,, L.P.C."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC003094",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Professional Counselor in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.