COBB COUNSELING CENTER INC (NPI# 1154728780) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154728780 |
| Entity Type | Organization |
| Organization Name | COBB COUNSELING CENTER INC |
| Practice Address |
4015 S Cobb Dr Se Suite 4 Smyrna GA 30080-6303 |
| Practice Telephone | 7704352931 |
| Practice Fax Number | 7704352942 |
| Mailing Telephone | 7704352931 |
| Mailing Fax Number | 7704352942 |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2014-11-25 |
| Authorized Official Name | MR. CARLTON D HAGGARD (PSYCHOTHERAPIST) |
| Authorized Official Telephone | 7704352931 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
CSW001456 | GA | Behavioral Health & Social Service Providers |
| Street Address |
4015 S COBB DR SE SUITE 4 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617351 | Carlton D Haggard | Social Worker | 4015 S Cobb Dr Se, Ste 4, Smyrna, GA 30080-6315 | 2005-05-31 |
| 1417414632 | Mike Phillips LLC | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-24 |
| 1629534896 | Michael C Phillips | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-13 |
| 1902358146 | Hannah Jay Sabella | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 250, Smyrna, GA 30080-6303 | 2016-11-03 |
| 1124470729 | Richard Charles Lie-nielsen | Counselor | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-07-07 |
| 1508216136 | Jason Rhoads | Counselor | 4015 S Cobb Dr Se, Suite 1, Smyrna, GA 30080-6303 | 2016-06-14 |
| 1962850446 | Brenda Terry | Physician Assistant | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-05-25 |
| 1669833448 | Christine Engstrom | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-03-08 |
| 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 |
| Find all providers in the same location | ||||
| 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 | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376198457 | Mind's Matter, LLC | Social Worker | 314 Greens Branch Ln, Smyrna, DE 19977-1021 | 2019-08-06 |
| 1942864178 | Alisha K Mccanney | Social Worker | 19 Ormonde Cir, Smyrna, DE 19977-4024 | 2019-04-23 |
| 1912473257 | Lindsey Johnson | Social Worker | 53 Rumson Ct Se, Smyrna, GA 30080-8006 | 2018-10-14 |
| 1083114680 | Kelly Collier | Social Worker | 1330 Concord Rd Se Ste 104, Smyrna, GA 30080-4373 | 2018-02-20 |
| 1093213514 | Jami Hanneman | Social Worker | 2142 W Village Ln Se, Smyrna, GA 30080-9254 | 2018-01-30 |
| 1033626593 | Empower Therapy Solutions, Inc | Social Worker | 10543 Cedar Grove Rd Ste 140, Smyrna, TN 37167-6525 | 2018-01-05 |
| 1992210900 | Benjamin Addison | Social Worker | 3439 Dunn St Se, Smyrna, GA 30080-7928 | 2017-12-13 |
| 1336678002 | Tonya Vinson | Social Worker | 1254 Concord Rd Se # 105, Smyrna, GA 30080-4371 | 2017-06-07 |
| 1437502762 | James Glenn Hammons | Social Worker | 4110 Kalb Ct Sw, Smyrna, GA 30082-4446 | 2016-07-21 |
| 1467827014 | Tiffany Jones | Social Worker | 1405 Tibarron Pkwy Se, Smyrna, GA 30080-7263 | 2015-12-08 |
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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.