LIBBY TANNENBAUM LLC (NPI# 1184079030) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1184079030 |
| Entity Type | Organization |
| Organization Name | LIBBY TANNENBAUM LLC |
| Practice Address |
11755 Pointe Pl Suite A-1 Roswell GA 30076-4656 |
| Practice Telephone | 4042816477 |
| Mailing Telephone | 4042816477 |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |
| Authorized Official Name | DR. LIBBY TANNENBAUM (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 4042816477 |
| Authorized Official Credential | PH.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | PSY2710 | GA | Agencies |
| Street Address |
11755 POINTE PL SUITE A-1 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972538577 | Margaret J. Magley | Counselor | 11755 Pointe Pl, Suite A-1, Roswell, GA 30076-4636 | 2006-07-11 |
| 1053779603 | Emily Siegel | Social Worker | 11755 Pointe Pl, Suite B, Roswell, GA 30076-4656 | 2016-02-10 |
| 1689070567 | L.kay Mccroskey, Ma, Lmft; LLC | Marriage & Family Therapist | 11755 Pointe Pl, Roswell, GA 30076-4656 | 2014-11-05 |
| 1881010122 | Marla Fleming | Clinical Nurse Specialist | 11755 Pointe Pl, Suite A-1, Roswell, GA 30076-4656 | 2014-03-11 |
| 1023309481 | John P Shallcross, Psy.d., P.C. | Psychologist | 11755 Pointe Pl, Roswell, GA 30076-4656 | 2011-04-20 |
| 1295068864 | Total Sleep Diagnostics, Inc. | Clinic/Center | 11755 Pointe Pl, Ste B1, Roswell, GA 30076-4656 | 2009-09-14 |
| 1245476639 | Marc David Einhorn | Psychologist | 11755 Pointe Pl, Roswell, GA 30076-4656 | 2009-01-06 |
| 1497904999 | Sandra Lee Taylor-anderson | Counselor | 11755 Pointe Pl, Suite C, Roswell, GA 30076-4656 | 2008-09-09 |
| 1861659575 | Total Sleep Holdings, Inc | Clinic/Center | 11755 Pointe Pl, Ste B-1, Roswell, GA 30076-4636 | 2008-05-20 |
| 1982871059 | Jeanette Marie Ray | Counselor | 11755 Pointe Pl, Suite A-1, Roswell, GA 30076-4636 | 2008-05-08 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
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|---|---|---|---|---|
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| 1871007161 | Expansion Guidance Services | Community/Behavioral Health | 760 Old Roswell Rd Ste 208, Roswell, GA 30076-8686 | 2017-11-22 |
| 1912416611 | Brady Behavior Analysis | Community/Behavioral Health | 11865 Wexford Club Dr, Roswell, GA 30075-1471 | 2017-09-25 |
| 1295289759 | Ahmanique Wholeness & Well-being | Community/Behavioral Health | 803 Bombay Ln Ste C, Roswell, GA 30076-5819 | 2016-08-12 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1962891853 | Practical Solutions Counseling, LLC | Community/Behavioral Health | 555 Sun Valley Dr Ste P4, Roswell, GA 30076-5633 | 2015-01-15 |
| 1205258795 | Esperanza Substance Abuse Services Inc. | Community/Behavioral Health | 516 S Hemlock Ave, Roswell, NM 88203-1530 | 2014-01-17 |
| 1811239338 | Susanna Rand | Community/Behavioral Health | 500 N Main St Ste 1006, Roswell, NM 88201-4768 | 2013-03-22 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1093062580 | Pecos Valley Counseling | Community/Behavioral Health | 409 N Kansas Ave, Roswell, NM 88201-3945 | 2012-08-14 |
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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.