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ESSENTIAL COUNSELING & CONSULTING INC NPI 1932721784


NPI Information

NPI: 1932721784
Provider Name: ESSENTIAL COUNSELING & CONSULTING, INC
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

CLIA Number: 11D2006163

Address:
2800 OLD SPANISH TRL
COLLEGE PARK, GA
ZIP 30349
Phone: (678) 570-7752
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ESSENTIAL COUNSELING & CONSULTING, INC is a mental health counselor in College Park, GA. ESSENTIAL COUNSELING & CONSULTING, INC NPI is 1932721784. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2800 OLD SPANISH TRL
COLLEGE PARK, GA
ZIP 30349-266
Phone: (678) 570-7752

The provider's authorized official is Pamela Deshawn Johnson .
The authorized official title is Ceo, Psychotherapist and has the following contact phone number (678) 570-7752.

The CLIA number assigned to this NPI record is 11D2006163 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2020 and was last updated on 5/15/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1103TC0700XPsychologistClinicalNo
2104100000XSocial WorkerNo
31041C0700XSocial WorkerClinicalNo
4103K00000XBehavior AnalystNo
5101YA0400XCounselorAddiction (Substance Use Disorder)No
6101YP2500XCounselorProfessionalNo
7106E00000XAssistant Behavior AnalystNo
8106S00000XBehavior TechnicianNo
9171M00000XCase Manager/Care CoordinatorNo
10175T00000XPeer SpecialistNo
11222Q00000XDevelopmental TherapistNo
12225XM0800XOccupational TherapistMental HealthNo
13363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
14405300000XPrevention ProfessionalNo
15101YM0800XCounselorMental HealthYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.