OUT OF THE BOX, COUNSELING, COACHING, AND CONSULTING
NPI 1053064022
Psychologist - Clinical in Duluth, GA

Q: What is Out Of The Box, Counseling, Coaching, And Consulting's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Active since January 31, 2022

10475 MEDLOCK BRIDGE RD STE 205, DULUTH, GA 30097(678) 379-3781(770) 232-1326 Get Directions Write a Review

NPPES record last updated: January 31, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Out Of The Box, Counseling, Coaching, And Consulting NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

OUT OF THE BOX, COUNSELING, COACHING, AND CONSULTING (NPI 1053064022) is a healthcare organization registered as a clinical in Duluth, Georgia and active in the NPI registry since January 2022. The organization lists Bertrina West, Clinical Director, as its authorized official.

NPPES Registry Identity

NPI1053064022

Entity TypeOrganization

Primary Taxonomy103TC0700X

Legal Business NameOUT OF THE BOX, COUNSELING, COACHING, AND CONSULTING

Location Address10475 MEDLOCK BRIDGE RD STE 205Duluth, GA 30097-4446

Mailing Address10475 Medlock Bridge Rd Ste 205Duluth, GA 30097-4446 · (678) 379-3781 · Fax (770) 232-1326

Phone(678) 379-3781

Fax(770) 232-1326

Organization SubpartNo

Authorized OfficialBertrina WestClinical Director · (678) 379-3781

Enumeration DateJanuary 31, 2022

NPPES CertifiedJanuary 31, 2022

✔ NPI 1053064022 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers

Taxonomy Code103TC0700X

Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

10475 MEDLOCK BRIDGE RD STE 205, Duluth, GA 30097

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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

SUSAN L. BOWER, M.D., P.C.

Clinic/Center (Medical Specialty)

10475 MEDLOCK BRIDGE RD STE 205
JOHNS CREEK, GA 30097

Gwinnett County (770) 338-6558

ANGELA C. BREAZEALE LPC

Counselor (Professional)

10475 MEDLOCK BRIDGE RD STE 205
JOHNS CREEK, GA 30097

Gwinnett County (678) 474-4899

DR. SUSAN LYNN BOWER M.D.

Psychiatry & Neurology (Psychiatry)

10475 MEDLOCK BRIDGE RD STE 205
JOHNS CREEK, GA 30097

Gwinnett County (770) 338-6558

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Out Of The Box, Counseling, Coaching, And Consulting's NPI number?

The NPI number for Out Of The Box, Counseling, Coaching, And Consulting is 1053064022. It was assigned to this organization in the NPPES registry on January 31, 2022.

Where is Out Of The Box, Counseling, Coaching, And Consulting located?

Out Of The Box, Counseling, Coaching, And Consulting is located at 10475 Medlock Bridge Rd Ste 205, Duluth, GA 30097. The listed phone number is (678) 379-3781.

What is Out Of The Box, Counseling, Coaching, And Consulting's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

When was this NPI record last updated?

The NPPES record for Out Of The Box, Counseling, Coaching, And Consulting was last updated on January 31, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.