EVERLASTING PEACE COUNSELING AND SUPPORT SERVICES (NPI# 1891278321) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891278321 |
| Entity Type | Organization |
| Organization Name | EVERLASTING PEACE COUNSELING AND SUPPORT SERVICES |
| Practice Address |
2210 Wynnton Rd Ste 206 Columbus GA 31906-5820 |
| Mailing Address |
Po Box 12225 Columbus GA 31917-2225 |
| Practice Telephone | 7064644597 |
| Mailing Telephone | 7064648539 |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2018-09-11 |
| Authorized Official Name | MR. EDWARD DUBOSE (OWNER /PRESIDENT) |
| Authorized Official Telephone | 7064648539 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AL | ALABAMA LICENSE NUMBER | 2924 | 01 |
| GA | GEORGIA LICENSE NUMBER | 004843 | 01 |
| Street Address |
2210 WYNNTON RD STE 206 |
| City | COLUMBUS |
| State | GA |
| Zip Code | 31906-5820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548778939 | Kamisha Latonya Byrd Jr. | Home Health | 901joy Rd Lot B1, Columbus, GA 31906 | 2018-01-19 |
| 1093180234 | Conchetta Perry | Nurse Practitioner | 1711 Buena Vista Road Suite #2, Columbus, GA 31906 | 2015-12-13 |
| 1972910586 | Felicia Murphy | Nurse's Aide | 5619 Teresa, Columbus, GA 31906 | 2014-07-15 |
| 1932526340 | Waytika Glover | Community Health Worker | 1719 Shepard Dr, Columbus, GA 31906 | 2014-03-24 |
| 1376973941 | Laura Kaye Thomas | Counselor | 2100 Cormer Ave, Columbus, GA 31906 | 2013-11-19 |
| 1831528876 | Mosco Davis | In Home Supportive Care | 2202 Francis St.., Columbus, GA 31906 | 2013-11-08 |
| 1104153451 | Project Rebound Inc. | Social Worker | 1170 Brown Ave Street B, Columbus, GA 31906 | 2009-11-06 |
| 1982865499 | Cheryl Denise Freeman-jackson | Dentist | 2206 Francis St, Columbus, GA 31906 | 2008-06-18 |
| 1366652083 | Leroy Livingstone Boatswain | Social Worker | 919 Lawyers Lane, Columbus, GA 31906 | 2007-05-23 |
| 1023127222 | Chikkanayak B Lokesh | Psychiatry & Neurology | 1310 13 Th Avenue, Va Cboc Clinic, Columbus, GA 31906 | 2006-08-30 |
| Find all providers in zip 31906 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689273534 | Stephanie Homan | Counselor | 317 E Royal Forest Blvd, Columbus, OH 43214-2129 | 2020-10-21 |
| 1497373575 | Mettle Services LLC | Counselor | 5120 Godown Rd, Columbus, OH 43220-7202 | 2020-07-06 |
| 1861017014 | Christine Sutton | Counselor | 2502 Middle View Dr, Columbus, IN 47201-1459 | 2020-06-13 |
| 1609499896 | Adrian D Wilson | Counselor | 3575 Macon Rd Ste 2, Columbus, GA 31907-8247 | 2020-05-21 |
| 1750902250 | Redefined LLC | Counselor | 2242 S Hamilton Rd Ste 208, Columbus, OH 43232-4300 | 2020-05-06 |
| 1164057113 | Starks Counseling and Consultation Services LLC | Counselor | 175 S. Third Street, Suite 200, Columbus, OH 43215-5194 | 2020-03-10 |
| 1457984171 | Kathleen Bell | Counselor | 4425 Bentwood Dr, Columbus, GA 31907-1832 | 2020-02-20 |
| 1306479860 | As You Are Housing for Teens | Counselor | 5875 Chantry Dr, Columbus, OH 43232-4764 | 2020-02-12 |
| 1417589185 | Bailey Ehlers | Counselor | 1441 Bethel Rd, Columbus, OH 43220-2001 | 2020-02-10 |
| 1720619372 | Aaron Saez | Counselor | 230 Fenway Rd, Columbus, OH 43214-1410 | 2020-02-03 |
| Find all providers in COLUMBUS | ||||
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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.