Provider Type Icon

ALPHARETTA/JOHNS CREEK COUNSELING FOR CHILDREN AND ADULTS NPI 1760927503


NPI Information

NPI: 1760927503
Provider Name: ALPHARETTA/JOHNS CREEK COUNSELING FOR CHILDREN AND ADULTS

Doing Business As: JOHNS CREEK & ALPHARETTA COUNSELING FOR CHILDREN AND ADULTS

Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
400 PROSPECT PL
ALPHARETTA, GA
ZIP 30005
Phone: (404) 834-2363
Get Directions

ALPHARETTA/JOHNS CREEK COUNSELING FOR CHILDREN AND ADULTS is a marriage family therapist in Alpharetta, GA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. ALPHARETTA/JOHNS CREEK COUNSELING FOR CHILDREN AND ADULTS NPI is 1760927503. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Johns Creek & Alpharetta Counseling For Children And Adults.

The provider's business location address is:

400 PROSPECT PL
ALPHARETTA, GA
ZIP 30005-468
Phone: (404) 834-2363
Fax: (866) 422-4042

The provider's authorized official is Erica Ann Gregory .
The authorized official title is Owner/clinical Director and has the following contact phone number (404) 834-2363.

The enumeration date for this NPI number is 1/4/2017 and was last updated on 1/4/2017.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)101YA0400XGEORGIANo
2101YM0800XCounselorMental Health101Y00000XGEORGIANo
3101YM0800XCounselorMental HealthGEORGIANo
4101YP2500XCounselorProfessionalLPC008501GEORGIANo
5106H00000XMarriage & Family TherapistAMFT001278GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11548503428MEDICAIDGEORGIA

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: 4/28/2024

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.