My Epiphany Counseling And Consultation Services, Llc.

NPI Registration Record

Provider / Organization	NPI	Date Certified
MY EPIPHANY COUNSELING AND CONSULTATION SERVICES, LLC.	1366730079	2023-11-10

The organization My Epiphany Counseling And Consultation Services, Llc. is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1366730079. Registration indicates My Epiphany Counseling And Consultation Services, Llc. is a provider of services with a specialization in Agencies, Community/Behavioral Health (Community/Behavioral Health, ) (Community Mental Health Center, ) (Community/Behavioral Health, Agencies) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, ) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Professional, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Professional, Behavioral Health & Social Service Providers) (Counselor, ) (Agencies, Case Management) (Case Management, ) (Case Management, Agencies) Access to Substance Use Disorder Providers (Behavioral Health & Social Service Providers, Counselor) (Behavioral Health & Social Service Providers, Counselor) (Counselor: Addiction (Substance Use Disorder),, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Counselor Addiction Substance Use Disorder, Behavioral Health & Social Service Providers) (Counselor, ) (Ambulatory Health Care Facilities, Clinic/Center) (Clinic/Center: Mental Health (Including Community Mental Health Center),, ) (Community Mental Health Center, ) (Clinic/Center Mental Health (Including Community Mental Health Center),, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity Type	Organization
Provider Organization	MY EPIPHANY COUNSELING AND CONSULTATION SERVICES, LLC.
Practice Office Address	120 MILLBROOK VILLAGE DR TYRONE, GA US
Practice Office Telephone	6782638830
Practice Office Fax	6787825491
Mailing Address	809 KOHL DR MCDONOUGH, GA 302537489 US
Business Telephone	6782638830
Business Fax	6787825491
Authorized Official	JEMEKA LASHAY STALLWORTH, CLINICAL DIRECT 2059196327

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