Paraclete Christian Counseling and Educational Services

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC001386 Issued in GA

Legal business name

PARACLETE CHRISTIAN COUNSELING AND EDUCATIONAL SERVICES

Practice address

252 Seavy St
Senoia, GA 30276-1806

Phone

(770) 599-1102

Fax

(770) 599-0806

NPI assigned

Nov 9, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Fred Richard Reynolds, DMIN

Title

Owner

Phone

(770) 599-1102

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1257724800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257724800000",
    "number": "1972830263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "252 SEAVY ST",
            "address_2": "P.O. BOX 147",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302761806",
            "telephone_number": "770-599-1102",
            "fax_number": "770-599-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "252 SEAVY ST",
            "city": "SENOIA",
            "state": "GA",
            "postal_code": "302761806",
            "telephone_number": "770-599-1102",
            "fax_number": "770-599-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PARACLETE CHRISTIAN COUNSELING AND EDUCATIONAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-09",
        "last_updated": "2009-11-09",
        "status": "A",
        "authorized_official_last_name": "REYNOLDS",
        "authorized_official_first_name": "FRED",
        "authorized_official_middle_name": "RICHARD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-599-1102",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMIN"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC001386",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "237506833A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jamille Miller-Brown
• Raquel Morales-Studnicka, CSFA
• Gregory C. Offor, PHARM. D
• Angela M Orenczak, IBCLC
• Palmetto Health Council Inc
• Leslie Isabel Perez, M.D.
• Michael Stuart Perry, M.A., L.P.C., N.C.C.
• Tina Renee Phillips
• Phoenix Rising Behavioral Health, LLC
• Kim Pogue, LCSW

• Community/Behavioral Health Agency in Senoia, GA
• Providers in Senoia, 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 Nov 9, 2009; 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.