Tara Goetz Counseling

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

005610 Issued in GA

Legal business name

TARA GOETZ COUNSELING

Practice address

7030 Boathouse Way
Flowery Branch, GA 30542

Phone

(770) 535-2555

NPI assigned

Feb 26, 2012

Organization subpart

No

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

Authorized official

Name

Tara Goetz, LPC

Title

Owner

Phone

(770) 535-2555

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1330214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729123200000",
    "number": "1962776732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 7474",
            "city": "CHESTNUT MOUNTAIN",
            "state": "GA",
            "postal_code": "30502",
            "telephone_number": "770-535-2555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7030 BOATHOUSE WAY",
            "city": "FLOWERY BRANCH",
            "state": "GA",
            "postal_code": "30542",
            "telephone_number": "770-535-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TARA GOETZ COUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-26",
        "last_updated": "2024-10-17",
        "certification_date": "2022-02-04",
        "status": "A",
        "authorized_official_last_name": "GOETZ",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-535-2555",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "005610",
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Community/Behavioral Health Agency in Flowery Branch, GA
• Providers in Flowery Branch, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 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.