NPI Portal NPI Lookup & Verification

Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

My Epiphany Counseling and Consultation Services, LLC.

Mental Health Clinic/Center (Including Community Mental Health Center) in Tyrone, GA · enumerated 2011 · authorized official Jemeka Stallworth, Clinical Director/Co-Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1366730079

Verified

See something wrong? Report a correction

Registry record

Entity type Organization (Type 2)
Legal business name My Epiphany Counseling and Consultation Services, LLC.
Practice address 120 Millbrook Village Dr, Tyrone, GA, 30290
Phone (678) 263-8830
Fax (678) 782-5491
Enumeration date Jul 14, 2011
Last updated in NPPES Nov 10, 2023

Taxonomy & classification

101YA0400X Addiction (Substance Use Disorder) Counselor Behavioral Health & Social Service Providers Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers · License 005233 (GA) Secondary
101YP2500X Professional Counselor Behavioral Health & Social Service Providers Secondary
251B00000X Case Management Agency Agencies Secondary
251S00000X Community/Behavioral Health Agency Agencies Secondary
261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

Authorized official

Name Jemeka Stallworth
Title Clinical Director/Co-Owner
Phone (205) 919-6327

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is My Epiphany Counseling and Consultation Services, LLC.?
My Epiphany Counseling and Consultation Services, LLC. is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).
What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Providers at this address

Browse all →

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2023-11-10.