ISOM E WHITE LCSW, LLC (NPI# 1104300250) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1104300250 |
| Entity Type | Organization |
| Organization Name | ISOM E WHITE LCSW, LLC |
| Practice Address |
3050 Atlanta Rd Se Smyrna GA 30080-8255 |
| Mailing Address |
1 Huntington Rd Ste 703 Athens GA 30606-7214 |
| Practice Telephone | 7064258900 |
| Mailing Telephone | 7064258900 |
| Enumeration Date | 2018-09-24 |
| Last Update Date | 2019-07-15 |
| Authorized Official Name | ISOM E WHITE (THERAPIST) |
| Authorized Official Telephone | 6783928173 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1 Huntington Rd Ste 703, Athens, GA 306067214 | 7064258900 |
| Street Address |
3050 ATLANTA RD SE |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-8255 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053423244 | John Bennett Lochridge | Psychiatry & Neurology | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2006-08-31 |
| 1851913701 | Megan Elizabeth Heller | Social Worker | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2020-05-14 |
| 1639677636 | Great Oak Counseling | Social Worker | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2018-01-25 |
| 1225557887 | Christopher Youell Uptain | Social Worker | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2017-09-14 |
| 1154786853 | Annie Garry | Social Worker | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2015-12-22 |
| 1629492053 | Georgia Center for Mental Wellness, LLC | Social Worker | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2014-02-05 |
| 1437380334 | Christopher Randall Stebbins | Social Worker | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2009-07-27 |
| 1932317708 | Margaret Judith Mcmillan | Marriage & Family Therapist | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2007-05-17 |
| 1912119017 | Brenda Maureen Romanchik | Social Worker | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2007-05-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083134597 | Daniel Paul Golightly Md LLC | Clinic/Center | 3188 Atlanta Rd Se, Smyrna, GA 30080 | 2017-06-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491172 | Life Compass Mental Health Services, LLC | Clinic/Center | 300 Colnl Ctr Pkwy Ste 100n, Roswell, GA 30076-4892 | 2020-09-12 |
| 1104437987 | Mimi Mcdonald LLC | Clinic/Center | 408 Creekstone Rdg, Woodstock, GA 30188-3740 | 2020-08-13 |
| 1396353884 | Atlanta Mental Wellness LLC | Clinic/Center | 1535 Mount Vernon Rd Ste B, Dunwoody, GA 30338-4149 | 2020-07-21 |
| 1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
| 1841808060 | By Grace Counseling LLC | Clinic/Center | 100 Hemingway Ln, Roswell, GA 30075-7024 | 2020-07-14 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1164055455 | New Perspectives Psychotherapy LLC | Clinic/Center | 10 N Clarendon Ave Ste B, Avondale Estates, GA 30002-1165 | 2020-02-15 |
| 1982234423 | All About You Counseling, LLC | Clinic/Center | 150 Prospect Pl, Alpharetta, GA 30005-5445 | 2020-01-23 |
| 1295372225 | Mental Space LLC | Clinic/Center | 4210 Columbia Rd Unit D, Martinez, GA 30907-0401 | 2019-12-10 |
| 1225679921 | Jacqueline Pickett Parrish | Clinic/Center | 3511 Willow Tree Trce, Decatur, GA 30034-3842 | 2019-10-03 |
| Find all providers with the same taxonomy | ||||
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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.