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MY EPIPHANY COUNSELING AND CONSULTATION SERVICES, LLC.
NPI 1366730079
Clinic/Center - Mental Health (Including Community Mental Health Center) in Tyrone, GA

Active since July 14, 2011
120 MILLBROOK VILLAGE DR, TYRONE, GA 30290(678) 263-8830(678) 782-5491 Get Directions Write a Review

NPPES record last updated: November 10, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About My Epiphany Counseling And Consultation Services, Llc. NPPES

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

MY EPIPHANY COUNSELING AND CONSULTATION SERVICES, LLC. (NPI 1366730079) is a healthcare organization registered as a mental health (including community mental health center) in Tyrone, Georgia and active in the NPI registry since July 2011. The organization lists Jemeka Lashay Stallworth, Clinical Director/co-owner, as its authorized official.

NPPES Registry Identity

NPI1366730079
Entity TypeOrganization
Primary Taxonomy261QM0801X
Legal Business NameMY EPIPHANY COUNSELING AND CONSULTATION SERVICES, LLC.
Location Address120 MILLBROOK VILLAGE DRTyrone, GA 30290-3605
Mailing Address809 Kohl DrMcdonough, GA 30253-7489 · (678) 263-8830 · Fax (678) 782-5491
Phone(678) 263-8830
Fax(678) 782-5491
Organization SubpartNo
Authorized OfficialJemeka Lashay StallworthClinical Director/co-owner · (205) 919-6327
Enumeration DateJuly 14, 2011
Last NPPES UpdateNovember 10, 2023
NPPES CertifiedNovember 10, 2023
✔ NPI 1366730079 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 5

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities
Taxonomy Code261QM0801X
Also ListedCounselor · Addiction (Substance Use Disorder)Taxonomy 101YA0400X
Also ListedCounselor · ProfessionalTaxonomy 101YP2500X · License 005233 (GA)
Also ListedCase ManagementTaxonomy 251B00000X
Also ListedCommunity/Behavioral HealthTaxonomy 251S00000X
120 MILLBROOK VILLAGE DR, Tyrone, GA 30290
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Other Providers at the Same Location NPPES 2

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

SONJA REGINA HILL MT
Contractor
120 MILLBROOK VILLAGE DR
TYRONE, GA 30290
Fayette County (470) 601-7421
MS. JEMEKA LASHAY STALLWORTH LPC, MSCP, CPCS, NCC
Counselor (Mental Health)
120 MILLBROOK VILLAGE DR
TYRONE, GA 30290
Fayette County (205) 919-6327

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 My Epiphany Counseling And Consultation Services, LLC.'s NPI number?

The NPI number for My Epiphany Counseling And Consultation Services, LLC. is 1366730079. It was assigned to this organization in the NPPES registry on July 14, 2011.

Where is My Epiphany Counseling And Consultation Services, LLC. located?

My Epiphany Counseling And Consultation Services, LLC. is located at 120 Millbrook Village Dr, Tyrone, GA 30290. The listed phone number is (678) 263-8830.

What is My Epiphany Counseling And Consultation Services, LLC.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for My Epiphany Counseling And Consultation Services, LLC. was last updated on November 10, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.