Active NPI
Cherry Chianti Haywood, LAPC
- Professional Counselor
- Loganville, GA
National Provider Identifier
1982471918
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- APC009418
- Practice address
- 299 Cooper Rd Ste B
Loganville, GA 30052-2579 - Phone
- (770) 217-4336
- NPI assigned
- Dec 11, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | APC009418 | GA | Primary |
Addresses
Primary practice location
299 Cooper Rd Ste B
Loganville, GA 30052-2579
Mailing address
3100 Lumby Dr Apt 803
Decatur, GA 30034-7603
Phone (404) 673-1509
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| APC009418 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aos Healing Center, LLC | Professional | Current | Accepting new patients |
Locations
299 Cooper Rd
Ste B
Loganville, GA 30052
Phone (706) 250-1769
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1702252800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1702252800000",
"number": "1982471918",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 LUMBY DR APT 803",
"city": "DECATUR",
"state": "GA",
"postal_code": "300347603",
"telephone_number": "404-673-1509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "299 COOPER RD STE B",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300522579",
"telephone_number": "770-217-4336"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HAYWOOD",
"first_name": "CHERRY",
"middle_name": "CHIANTI",
"name_prefix": "Ms.",
"credential": "LAPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-12-11",
"last_updated": "2023-12-11",
"certification_date": "2023-12-09",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "APC009418",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.