PERSONAL RECOVERY NETWORK LLC (NPI# 1023356458) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1023356458 |
| Entity Type | Organization |
| Organization Name | PERSONAL RECOVERY NETWORK LLC |
| Other Organization Name | THE ANXIETY & STRESS MANAGEMENT INSTITUTE |
| Practice Address |
1640 Powers Ferry Rd Se Building 9, Suite 100 Marietta GA 30067-5491 |
| Practice Telephone | 7709530080 |
| Practice Fax Number | 7709530031 |
| Mailing Telephone | (770) 953-0080 |
| Mailing Fax Number | 7709530031 |
| Enumeration Date | 2013-01-18 |
| Last Update Date | 2017-10-10 |
| Authorized Official Name | ASHLEY NICHOLS TAGTACHIAN (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 7705482589 |
| Authorized Official Credential | MBA |
| Is Organization Subpart | Y |
| Parent Organization Name | PERSONAL RECOVERY NETWORK LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| Y | 103T00000X | Psychologist | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| The Anxiety & Stress Management Institute | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700246550 | Personal Recovery Network LLC | Counselor | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-03-07 |
| 1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
| 1700245891 | Personal Recovery Network LLC | Counselor | 250 Corporate Center Ct, Stockbridge, GA 30281-6388 | 2016-02-17 |
| 1598124695 | Personal Recovery Network LLC | Counselor | 5965 Parkway North Blvd, Suite C, Cumming, GA 30040-1430 | 2016-02-17 |
| 1831558931 | Personal Recovery Network LLC | Counselor | 1640 Powers Ferry Rd Se, Bldg 9 Suite 330, Marietta, GA 30067-5491 | 2016-02-17 |
| 1912366014 | Personal Recovery Network LLC | Counselor | 6385 Mcginnis Ferry Rd, Suite 202, Johns Creek, GA 30005-3621 | 2016-02-17 |
| 1699132951 | Personal Recovery Network LLC | Psychiatry & Neurology | 5775 Peachtree Dunwoody Rd, C200, Atlanta, GA 30342-1556 | 2016-01-18 |
| 1881990869 | Personal Recovery Network LLC | Counselor | 250 Corporate Center Ct, Stockbridge, GA 30281 | 2011-02-08 |
| Street Address |
1640 POWERS FERRY RD SE BUILDING 9, SUITE 100 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205887437 | The Anxiety & Stress Management Institute | Counselor | 1640 Powers Ferry Rd Se, Building 9, Suite 100, Marietta, GA 30067-5491 | 2006-05-12 |
| 1235740622 | Taivia Nicosi Thompson | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2020-08-11 |
| 1356965271 | Julie Stofko | Licensed Practical Nurse | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2020-06-05 |
| 1265068068 | Tori Jade Emerick | Counselor | 1640 Powers Ferry Rd Se, Building 5, Suite 110, Marietta, GA 30067 | 2020-03-12 |
| 1730713645 | Vera Melinda Shook | Licensed Practical Nurse | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2020-02-29 |
| 1720622418 | William Joseph Colombo | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2019-11-05 |
| 1184277923 | Irvin Harley Kooris | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2019-07-22 |
| 1194299933 | Jennifer Carlson | Counselor | 1640 Powers Ferry Rd Se, Building 2 Ste 150, Marietta, GA 30067 | 2019-01-15 |
| 1467939405 | Martha Williamson Munford | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2018-07-23 |
| 1235639535 | Korinne Liana Edwards | Registered Nurse | 1640 Powers Ferry Rd Se, Building 9, Ste 330, Marietta, GA 30067 | 2018-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 103T00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| A psychologist is an individual who is licensed to practice psychology which is defined as the observation, description, evaluation, interpretation, and modification of human behavior by the application of psychological principles, methods, and procedures, for the purpose of preventing or eliminating symptomatic, maladaptive, or undesired behavior and of enhancing interpersonal relationships, work and life adjustment, personal effectiveness, behavioral health, and mental health. The practice of psychology includes, but is not limited to, psychological testing and the evaluation or assessment of personal characteristics, such as intelligence, personality, abilities, interests, aptitudes, and neuropsychological functioning; counseling, psychoanalysis, psychotherapy, hypnosis, biofeedback, and behavior analysis and therapy; diagnosis and treatment of mental and emotional disorder or disability, alcoholism and substance abuse, disorders of habit or conduct, as well as of the psychological aspects of physical illness, accident, injury, or disability; and psycheducational evaluation, therapy, remediation, and consultation. Psychological services may be rendered to individuals, families, groups and the public. |
| Notes: Source: American Psychological Association [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356848485 | Valerie Parker, Psy.d., Inc. | Psychologist | 1744 Roswell Rd Ste 200, Marietta, GA 30062-3979 | 2018-04-05 |
| 1750831301 | Quaneecia Rainey | Psychologist | 55 Whitcher St Ne Ste 400, Marietta, GA 30060-1129 | 2016-10-06 |
| 1760727762 | Christy Jaffe | Psychologist | 459 Old Canton Rd, Marietta, GA 30068-3267 | 2012-12-02 |
| 1700111721 | Dongwook Lee | Psychologist | 3939 Roswell Rd Ste 200, Marietta, GA 30062 | 2009-10-08 |
| 1326250978 | Beverly Dawn Brooks | Psychologist | 660 Village Trce Ne Bldg 18, Paper Mill Village Office Park, Marietta, GA 30067-4081 | 2007-05-04 |
| 1023134244 | Cheryl Anderson Williams | Psychologist | 2625 Sandy Plains Rd, Suite 104, Marietta, GA 30066-4260 | 2007-03-21 |
| 1275613481 | Sheryl K. White | Psychologist | 416 1/2 Colegate Dr, Marietta, OH 45750-9549 | 2006-10-16 |
| 1003822073 | Jeffrey John Pipe | Psychologist | 127 Church St Ne, Suite 350, Marietta, GA 30060-8637 | 2006-07-31 |
| 1780617159 | Marc Isralsky, PC | Psychologist | 840 Church St Ne, Bldg. F, Marietta, GA 30060-8936 | 2006-07-09 |
| 1780614636 | Susan Z. Volentine | Psychologist | 122 Cherry St Ne, Marietta, GA 30060-7206 | 2006-07-04 |
| Find all providers in MARIETTA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.