YOUR JOURNEY COUNSELING OF DECATUR, LLC (NPI# 1730645680) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1730645680 |
Entity Type | Organization |
Organization Name | YOUR JOURNEY COUNSELING OF DECATUR, LLC |
Practice Address |
108 E Ponce De Leon Ave Ste 206 Decatur GA 30030-2512 |
Mailing Address |
2220 Ringsmith Dr Ne Atlanta GA 30345-3619 |
Practice Telephone | 6786369761 |
Mailing Telephone | 4047862013 |
Enumeration Date | 2019-02-15 |
Last Update Date | 2019-02-15 |
Authorized Official Name | ROBERT HELLER JR. (OWNER) |
Authorized Official Telephone | 4047862013 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Rob Heller, LPC | Doing Business As Name - Organization |
Street Address |
108 E PONCE DE LEON AVE STE 206 |
City | DECATUR |
State | GA |
Zip Code | 30030-2512 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1528497989 | Robert Heller Jr. | Counselor | 108 E Ponce De Leon Ave Ste 206, Decatur, GA 30030-2512 | 2013-11-06 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801413174 | Pa-c Surgical Assist, LLC | Clinic/Center | 520 W Ponce Leon Ave #1706, Decatur, GA 30030 | 2020-07-02 |
1417587478 | Elizabeth Heffron | Acupuncturist | 619b East College Avenue, Decatur, GA 30030 | 2020-01-17 |
1669016143 | Atlanta Upper Cervical Chiropractic LLC | Chiropractor | 125 E Trinity Place, Suite #247, Decatur, GA 30030 | 2019-10-29 |
1831757418 | Jessica Stewart | Counselor | 755 Commerce Dr Ste 903, Decatur, GA 30030 | 2019-05-30 |
1699238733 | Dinah Augustin | Registered Nurse | 1458 Church St., Unit B, Decatur, GA 30030 | 2019-04-06 |
1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
1912476466 | Positive Impact Health Centers, Inc. | Pharmacy | 523 Church Street, Suite B, Decatur, GA 30030 | 2018-11-14 |
1932685096 | T2 Imaging | Radiology | 1376 Church Street, Suite 100, Decatur, GA 30030 | 2018-07-12 |
1992292858 | Keeanna M Powell | Counselor | Agape Transformation Practice, 235 E. Ponce De Leon Ave Suite 103, Decatur, GA 30030 | 2018-04-17 |
1780185488 | Solutions Ae Inc | Counselor | One West Square Court, Suite 710, Decatur, GA 30030 | 2018-02-27 |
Find all providers in zip 30030 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225679921 | Jacqueline Pickett Parrish | Clinic/Center | 3511 Willow Tree Trce, Decatur, GA 30034-3842 | 2019-10-03 |
1396209284 | Sdh Counseling, LLC | Clinic/Center | 2784 N Decatur Rd Ste 145, Decatur, GA 30033-5903 | 2019-01-25 |
1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
1568959591 | Activating Wellness Within, LLC | Clinic/Center | 4153 Flat Shoals Pkwy Ste 324-a, Decatur, GA 30034-4106 | 2018-04-16 |
1235527524 | Heritage Behavioral Health Center, Inc | Clinic/Center | 327 W Prairie Ave, Decatur, IL 62522-2444 | 2015-01-08 |
1891051579 | Region Ten Commission On Mental Health | Clinic/Center | 92 South 6th Avenue, Decatur, MS 39327-0092 | 2012-04-06 |
1326352048 | Bates Behavioral Service | Clinic/Center | 1401 Carter Rd, Decatur, GA 30030-4608 | 2010-08-05 |
1215561675 | Leikam Therapy and Consulting LLC | Clinic/Center | 118 E Maple St, Decatur, GA 30030-3314 | 2020-02-25 |
1538706429 | The Fountain of Hope Counseling Services,llc | Clinic/Center | 755 Commerce Dr Ste 903, Decatur, GA 30030-2624 | 2019-12-10 |
1043781347 | Barbara Lewison, Lcsw, LLC | Clinic/Center | 209b Swanton Way Ste 104, Decatur, GA 30030-3271 | 2018-12-11 |
Find all providers in DECATUR |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.