P Praxis·MD
● Active Type 2 · Organization

My Epiphany Counseling And Consultation Services, Llc.

Clinic/Center·Tyrone, GA· NPI 1366730079 · Enumerated 2011 · 14 years on NPI
My Epiphany Counseling And Consultation Services, Llc. is 1 of 662 clinic/center organizations in Georgia.
NPI age
14 years
Enumerated 2011-07-14
Primary specialty
Clinic/Center
Plus 4 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Stallworth
Clinical Director/co-Owner
Last NPPES update
2023-11-10
Source: monthly bulk 2026-05

How this organization compares

Across 662 active clinic/center providers in Georgia.

NPI age
14 years
↑ 9 yr above median
Practice locations
1
0 secondary on file
Subspecialties
4
In the 18% of peers with subspecialties

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
120 Millbrook Village Dr
Tyrone, GA 302903605
📞 6782638830fax 6787825491
Mailing address
809 Kohl Dr
McDonough, GA 302537489
📞 6782638830fax 6787825491

Authorized official

Jemeka Lashay Stallworth, LPC
Clinical Director/co-Owner
📞 2059196327

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X
  • Case Management
    An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management...
    taxonomy 251B00000X
  • Community/Behavioral Health
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    taxonomy 251S00000X
  • Counselor
    Definition to come...
    GA license #005233 taxonomy 101YP2500X
  • Counselor
    Definition to come...
    taxonomy 101YA0400X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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