LIFE EVOLUTIONS BEHAVIORAL HEALTH CARE, LLC (NPI# 1134355910) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134355910 |
| Entity Type | Organization |
| Organization Name | LIFE EVOLUTIONS BEHAVIORAL HEALTH CARE, LLC |
| Practice Address |
2598 N Decatur Rd Decatur GA 30033-6118 |
| Mailing Address |
Po Box 83339 Conyers GA 30013-8019 |
| Practice Telephone | 4046365346 |
| Enumeration Date | 2009-06-07 |
| Last Update Date | 2009-06-07 |
| Authorized Official Name | ATASHA MURRAY (OWNER/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4046364346 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 252Y00000X | Early Intervention Provider Agency | SLP006065 | GA | Agencies |
| Street Address |
2598 N DECATUR RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-6118 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 252Y00000X |
| Grouping | Agencies |
| Classification | Early Intervention Provider Agency |
| Early intervention services are an effective way to address the needs of infants and toddlers who have developmental delays or disabilities. The services are made available through a federal law known as the Individuals with Disabilities Education Act (IDEA). IDEA provides states and territories with specific requirements for providing early intervention services to infants and toddlers with special needs. In turn, each state and territory develops its own policies for carrying out IDEA and its requirements. Broadly speaking, early intervention services are special services for eligible infants and toddlers and their families. These services are designed to identify and meet children’s needs in five developmental areas. These areas are: physical development, cognitive development, communication, social or emotional development, and adaptive development. |
| Notes: Source: National Dissemination Center for Children with Disabilities [7/1/2007: new] http://www.nichcy.org/pubs/parent/pa2txt.htm |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982850491 | North Central Alabama Mental Retardation Authority, Inc. | Early Intervention Provider Agency | 445 Moulton St E, Decatur, AL 35601-3000 | 2008-08-15 |
| 1265607683 | Assertive Community Recovery, LLC | Early Intervention Provider Agency | 4151 Memorial Dr Ste 209c, Decatur, GA 30032-1597 | 2008-04-27 |
| 1972772143 | Associated Therapies, Inc | Early Intervention Provider Agency | 1456 B Mclendon Drive, Decatur, GA 30033 | 2008-02-21 |
| 1295191831 | In Motion Pediatric Therapy LLC | Early Intervention Provider Agency | 5304 Panola Industrial Blvd, Suite M, Decatur, GA 30035-4065 | 2016-01-12 |
| 1740654938 | Baby Talk, Inc. | Early Intervention Provider Agency | 650 W William St, Decatur, IL 62522-2326 | 2015-11-25 |
| 1164730925 | Macon County Community Mental Health Board | Early Intervention Provider Agency | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2010-09-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295333474 | Nicole Moss | Early Intervention Provider Agency | 4660 Crested Butte Rd, Augusta, GA 30909-9127 | 2020-10-11 |
| 1689298184 | Cori Mizell Archer | Early Intervention Provider Agency | 3690 Wisteria Ln Se, Smyrna, GA 30082-3488 | 2020-06-01 |
| 1194364679 | Adams Learning Academy, Inc. | Early Intervention Provider Agency | 5482 Christi Dr, Douglasville, GA 30135-2502 | 2019-12-31 |
| 1942842646 | Sabine Ashe | Early Intervention Provider Agency | 4756 Timarron Loop, Columbus, GA 31909-8033 | 2019-10-14 |
| 1790336444 | Jimmie Jo Nichols | Early Intervention Provider Agency | 99 Double Knobs Trail, Young Harris, GA 30582 | 2019-09-24 |
| 1013563212 | Veda Sonia Rallins | Early Intervention Provider Agency | 189 Starr Dr, Jonesboro, GA 30236-3622 | 2019-08-13 |
| 1215494653 | Robin Kersey Bayerl | Early Intervention Provider Agency | 1809 Dighton Way Nw, Kennesaw, GA 30152-6925 | 2019-02-21 |
| 1356806699 | Katherine Elisabeth Kostelansky | Early Intervention Provider Agency | 3307 High View Ct, Gainesville, GA 30506-7210 | 2019-01-31 |
| 1649744525 | Independence Behavior Solutions | Early Intervention Provider Agency | 930 Rushing St, Richmond Hill, GA 31324-6435 | 2019-01-14 |
| 1356815278 | North Georgia Autism Foundation Inc | Early Intervention Provider Agency | 11 Overview Dr Ste 203, Blue Ridge, GA 30513-6687 | 2019-01-14 |
| 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.