Organization Active NPI

Mintfour Change, LLC

  • Professional Counselor
  • Lithonia, GA
National Provider Identifier
1962678540
Registry record updated May 5, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
LPC004278 Issued in GA
Legal business name
MINTFOUR CHANGE, LLC
Practice address
6886 Main St Ste 215
Lithonia, GA 30058-4508
Phone
(678) 526-1132
Fax
(678) 526-1153
NPI assigned
May 5, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 5, 2008

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

Authorized official

Name
Mrs. Joyce Davis Minter, RN, LPCNPI 1467440024
Title
Managing Member
Phone
(678) 526-1132

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
Professional CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YP2500X LPC004278 GA Primary

Addresses

Primary practice location

6886 Main St Ste 215
Lithonia, GA 30058-4508

Mailing address

6886 Main St Ste 215
Lithonia, GA 30058-4508
Phone (678) 526-1132

National Provider Directory

National Provider Directory

Locations

6886 Main St
Ste 215
Lithonia, GA 30058
Phone (404) 759-3444

Practitioners & affiliated clinicians

Practitioners 1

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": "1209945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1209945600000",
    "number": "1962678540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6886 MAIN ST STE 215",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584508",
            "telephone_number": "678-526-1132",
            "fax_number": "678-526-1153"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6886 MAIN ST STE 215",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300584508",
            "telephone_number": "678-526-1132",
            "fax_number": "678-526-1153"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MINTFOUR CHANGE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-05-05",
        "last_updated": "2008-05-05",
        "status": "A",
        "authorized_official_last_name": "MINTER",
        "authorized_official_first_name": "JOYCE",
        "authorized_official_middle_name": "DAVIS",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "678-526-1132",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN, LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC004278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2008; 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.