Daddysgirl4Ever Counseling & Coaching Empowerment Services Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC008467 Issued in GA

Legal business name

DADDYSGIRL4EVER COUNSELING & COACHING EMPOWERMENT SERVICES INC.

Practice address

1755 N Brown Rd
Suite 200
Lawrenceville, GA 30043-8198

Phone

(678) 235-5912

Fax

(404) 443-0922

NPI assigned

May 2, 2016

Organization subpart

No

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

Authorized official

Name

Mrs. Shantreis Edwards, LPC

Title

Ceo/Owner

Phone

(646) 251-6713

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• DG4E Counseling & Coaching Empowerment Services inc. Other name

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1962857565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1755 N BROWN RD",
            "address_2": "SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438198",
            "telephone_number": "678-235-5912",
            "fax_number": "404-443-0922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 N BROWN RD",
            "address_2": "SUITE 200",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300438198",
            "telephone_number": "678-235-5912",
            "fax_number": "404-443-0922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DADDYSGIRL4EVER COUNSELING & COACHING EMPOWERMENT SERVICES INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "EDWARDS",
        "authorized_official_first_name": "SHANTREIS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "646-251-6713",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC008467",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1497140776",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003174271A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "13523914",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "DG4E Counseling & Coaching Empowerment Services inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; 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.