My Epiphany Counseling and Consultation Services, LLC
My Epiphany Counseling and Consultation Services, LLC is an Addiction (Substance Use Disorder) Counselor in Tyrone, Georgia. Licensed in Georgia. Registered with an NPI since 2011.
- Licensed in
- GA
- In the registry since
- 2011
- Specialties on file
- 6
What do these letters mean?
- LLC — Limited liability company
- A form of business registration, not a clinical qualification.
Practice location Address checks out
120 Millbrook Village DrTyrone, GA 30290-3605
Phone: (678) 263-8830
Fax: (678) 782-5491
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Mental Health Clinic/Center (Including Community Mental Health Center) (primary) | Taxonomy 261QM0801X |
|---|---|
| Addiction (Substance Use Disorder) Counselor | Taxonomy 101YA0400X |
| Professional Counselor | Taxonomy 101YP2500X · Licence 005233 (GA) |
| Professional Counselor | Taxonomy 101YP2500X |
| Case Management Agency | Taxonomy 251B00000X |
| Community/Behavioral Health Agency | Taxonomy 251S00000X |
Record details
| NPI number | 1366730079 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Jemeka Stallworth — Clinical Director/Co-Owner · (205) 919-6327 |
| NPI enumerated | July 14, 2011 |
| Last updated in NPPES | November 10, 2023 |
| Certification date | November 10, 2023 |
| Mailing address | 809 Kohl Dr, McDonough, GA 30253-7489 |