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DESTINATION GREATNESS-GEORGIA LLC NPI 1225582562


NPI Information

NPI: 1225582562
Provider Name: DESTINATION GREATNESS-GEORGIA, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3343 PEACHTREE RD NE STE 145-1058
ATLANTA, GA
ZIP 30326
Phone: (800) 647-3345
Get Directions

DESTINATION GREATNESS-GEORGIA, LLC is a clinical social worker in Atlanta, GA. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. DESTINATION GREATNESS-GEORGIA, LLC NPI is 1225582562. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3343 PEACHTREE RD NE STE 145-1058
ATLANTA, GA
ZIP 30326-085
Phone: (800) 647-3345
Fax: (866) 923-0754

The provider's authorized official is Shanna Amanda Jefferson .
The authorized official title is Ceo and has the following contact phone number (800) 647-3345.

The enumeration date for this NPI number is 8/3/2016 and was last updated on 2/10/2021.


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)No
2101YM0800XCounselorMental HealthNo
3103TC1900XPsychologistCounselingNo
41041C0700XSocial WorkerClinicalYes

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

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