MS. GEORCOL L TAYLOR GOMILLION


Address: 2751 Buford Hwy Ne Ste 700, Atlanta, GA 30324-5510
Phone: 7702680882

MS. GEORCOL L TAYLOR GOMILLION (NPI# 1215465836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1215465836
Entity Type Individual
Full Name MS. GEORCOL L TAYLOR GOMILLION
Other Name GEORCOL L GOMILLION
Credential APC
Practice Address 2751 Buford Hwy Ne Ste 700
Atlanta
GA 30324-5510
Mailing Address 3755 Waldrop Ln
Decatur
GA 30034-6786
Practice Telephone 7702680882
Mailing Telephone 7702680882
Enumeration Date 2017-05-25
Last Update Date 2017-05-25
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101Y00000X Counselor APC005951 GA Behavioral Health & Social Service Providers

Office Location

Street Address 2751 BUFORD HWY NE STE 700
City ATLANTA
State GA
Zip Code 30324-5510

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NPI Name Taxonomy Address Enumeration
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1487161899 Jenny Heuer Counselor 2751 Buford Hwy Ne Ste 700, Atlanta, GA 30324-5510 2018-01-08
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NPI Name Taxonomy Address Enumeration
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Taxonomy Information

Taxonomy Code 101Y00000X
Grouping Behavioral Health & Social Service Providers
Classification Counselor

Taxonomy Definition

A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification.
Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors.

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Competitor

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City ATLANTA
Zip Code 30324

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Dataset Information

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.

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