The Brookhaven Center for Counseling & Wellness

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC008487 Issued in GA

Legal business name

THE BROOKHAVEN CENTER FOR COUNSELING & WELLNESS

Practice address

3996 Clairmont Rd
Atlanta, GA 30341-4938

Phone

(470) 755-1314

NPI assigned

Apr 17, 2017

Organization subpart

No

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

Authorized official

Name

Megan Watts Broadhead, MS, MDIV, LPC

Title

Director

Phone

(470) 755-1314

Specialties & licenses 1

Addresses

Other names 1

• Engage Premarital Counseling Doing business as

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

{
    "created_epoch": "1492387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492387200000",
    "number": "1992239925",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3996 CLAIRMONT RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414938",
            "telephone_number": "470-755-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3996 CLAIRMONT RD",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303414938",
            "telephone_number": "470-755-1314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE BROOKHAVEN CENTER FOR COUNSELING & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-17",
        "last_updated": "2017-04-17",
        "status": "A",
        "authorized_official_last_name": "BROADHEAD",
        "authorized_official_first_name": "MEGAN",
        "authorized_official_middle_name": "WATTS",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "470-755-1314",
        "authorized_official_credential": "MS, MDIV, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC008487",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Engage Premarital Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, 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 Apr 17, 2017; 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.