My Epiphany Counseling and Consultation Services, LLC.
NPI 1366730079 · Mental Health Clinic/Center (Including Community Mental Health Center) · Tyrone, GA
My Epiphany Counseling and Consultation Services, LLC. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Tyrone, GA (NPI 1366730079).
Provider details
- NPI number
- 1366730079
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jemeka Stallworth, Clinical Director/Co-Owner(205) 919-6327
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community/Behavioral Health Agency251S00000X
Agencies
Behavioral Health & Social Service Providers
- Professional Counselor101YP2500X
Behavioral Health & Social Service Providers
- Case Management Agency251B00000X
Agencies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2011-07-14
- Last updated
- 2023-11-10
- Certified
- 2023-11-10
Frequently asked questions
- What is My Epiphany Counseling and Consultation Services, LLC.'s NPI number?
- My Epiphany Counseling and Consultation Services, LLC.'s National Provider Identifier (NPI) is 1366730079, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is My Epiphany Counseling and Consultation Services, LLC.?
- My Epiphany Counseling and Consultation Services, LLC. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is My Epiphany Counseling and Consultation Services, LLC. located?
- My Epiphany Counseling and Consultation Services, LLC.'s practice location on file with NPPES is 120 Millbrook Village Dr, Tyrone, GA 30290-3605.
- What is My Epiphany Counseling and Consultation Services, LLC.'s phone number?
- The practice phone number listed in the NPPES registry for My Epiphany Counseling and Consultation Services, LLC. is (678) 263-8830.
- Who is the authorized official for My Epiphany Counseling and Consultation Services, LLC.?
- The authorized official listed on My Epiphany Counseling and Consultation Services, LLC.'s NPPES record is Jemeka Stallworth, Clinical Director/Co-Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is My Epiphany Counseling and Consultation Services, LLC.'s NPI active?
- Yes — My Epiphany Counseling and Consultation Services, LLC.'s NPI (1366730079) is active in the NPPES registry as of the last update on 2023-11-10.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.