Organization Active NPI

Heal Thy Energy Expressive Therapy, LLC

  • Professional Counselor
  • Stone Mountain, GA
National Provider Identifier
1962275230
Registry record updated Jun 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
HEAL THY ENERGY EXPRESSIVE THERAPY, LLC
Practice address
5300 Memorial Dr Ste 138
Stone Mountain, GA 30083-3155
Phone
(678) 743-1965
NPI assigned
Oct 30, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2024

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

Authorized official

Name
Dr. Laurie Jones, ND, MPH, LPC, NCCNPI 1073107504
Title
Ceo / Director of Operations
Phone
(678) 743-1965

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Marriage & Family TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 106H00000X
Health EducatorGroup: 193200000X MULTI-SPECIALTY GROUP 174H00000X
Dance TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225600000X

Addresses

Primary practice location

5300 Memorial Dr Ste 138
Stone Mountain, GA 30083-3155

Mailing address

3744 E Ponce de Leon Ave
Clarkston, GA 30021-1809
Phone (678) 743-1965

National Provider Directory

National Provider Directory

Locations

5300 Memorial Dr
Ste 138
Stone Mountain, GA 30083
Phone (678) 743-1965

Practitioners & affiliated clinicians

Practitioners 2

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": "1698624000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718755200000",
    "number": "1962275230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3744 E PONCE DE LEON AVE",
            "city": "CLARKSTON",
            "state": "GA",
            "postal_code": "300211809",
            "telephone_number": "678-743-1965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5300 MEMORIAL DR STE 138",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833155",
            "telephone_number": "678-743-1965"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL THY ENERGY EXPRESSIVE THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-30",
        "last_updated": "2024-06-19",
        "certification_date": "2024-06-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LAURIE",
        "authorized_official_title_or_position": "CEO / DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "678-743-1965",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "ND, MPH, LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "174H00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225600000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dance Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.