OMNI ONE PROFESSIONAL COUNSELING LLC NPI 1508599143

NPI Information

  • NPI: 1508599143
  • Provider Name: OMNI ONE PROFESSIONAL COUNSELING LLC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 436 EASTWYCK CIR
    DECATUR, GA
    ZIP 30032
  • Phone: (678) 458-2150

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NPI Details

OMNI ONE PROFESSIONAL COUNSELING LLC is a clinic center in Decatur, GA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). OMNI ONE PROFESSIONAL COUNSELING LLC NPI is 1508599143. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

436 EASTWYCK CIR
DECATUR, GA
ZIP 30032-694
Phone: (678) 458-2150

The provider's authorized official is Knitikia Gross .
The authorized official title is Owner and has the following contact phone number (678) 458-2150.

The enumeration date for this NPI number is 7/1/2022 and was last updated on 7/1/2022.

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
1101YP2500XCounselorProfessionalNo
2261Q00000XClinic/CenterYes

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: 3/30/2025

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