Active NPI
Heal Thy Energy Expressive Therapy, LLC
- Professional Counselor
- Stone Mountain, GA
National Provider Identifier
1962275230
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- 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
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, NCC
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | Primary | ||
| Marriage & Family Therapist | 106H00000X | |||
| Health Educator | 174H00000X | |||
| Dance Therapist | 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 DirectoryLocations
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.
-
- Professional Counselor
- Stone Mountain, GA
- NPI 1073107504
-
- Marriage & Family Therapist
- Tucker, GA
- NPI 1972780591
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.