=====================================================
General NPI Number Information
=====================================================
NPI Number | 1407083934
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | ALL THINGS CONSULTING, INC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/11/2009
-----------------------------------------------------
Last Update Date | 06/11/2009
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3439 LEHIGH WAY
-----------------------------------------------------
City | DECATUR
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30034-5738
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-418-8773
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3439 LEHIGH WAY
-----------------------------------------------------
City | DECATUR
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30034-5738
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 678-418-8773
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | DR. LINDA Y HENDERSON
-----------------------------------------------------
Credential | PHD, LPC
-----------------------------------------------------
Telephone | 678-418-8773
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | 005416
-----------------------------------------------------
License Number State | GA
-----------------------------------------------------