SYNERGIA INTEGRATED TELEBEHAVIORAL HEALTH (NPI# 1245854371) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245854371 |
| Entity Type | Organization |
| Organization Name | SYNERGIA INTEGRATED TELEBEHAVIORAL HEALTH |
| Practice Address |
3941 Old Atlanta Station Drive, Southeast Atlanta GA 30339 |
| Mailing Address |
21301 Hwy 410 E Suite Mb162 Bonney Lake WA 98391 |
| Practice Telephone | 2063653096 |
| Mailing Telephone | 2063653096 |
| Enumeration Date | 2020-06-04 |
| Last Update Date | 2020-08-20 |
| Authorized Official Name | COURTNEY HARRING (CREDENTIALING SPEACILIST) |
| Authorized Official Telephone | 6787615956 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Oregon Corporations, Companies and Business Names | SYNERGIA INTEGRATED TELEBEHAVIORAL HEALTH INC | 11010 Harbor Hill Dr Nw Suite B156, Gig Harbor, WA 98332 |
| Street Address |
3941 OLD ATLANTA STATION DRIVE, SOUTHEAST |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| 1255873295 | Ori Alaafi Coaching & Psychotherapy LLC | Psychologist | 1995 North Park Place, Suite 310f, Atlanta, GA 30339 | 2016-11-08 |
| Find all providers in zip 30339 | ||||
| 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 |
|---|---|---|---|---|
| 1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
| 1922582907 | United Hearts Behavioral Health LLC. | Clinic/Center | 5832 Harrier Ln, Atlanta, GA 30349-8871 | 2018-09-17 |
| 1922501576 | Acorn Center for Counseling, Growth, & Healing LLC | Clinic/Center | 942 North Ave Ne, Atlanta, GA 30306-4466 | 2018-03-09 |
| 1750747812 | Dunwoody Psychiatry and Psychotherapy Center | Clinic/Center | 2150 Peachford Rd Ste V, Atlanta, GA 30338-6539 | 2016-01-05 |
| 1407457328 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-11-06 |
| 1467068890 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-09-21 |
| 1790393866 | A Sound Mind Rehabilitation Institution Inc. | Clinic/Center | 5574 Grammercy Dr Sw, Atlanta, GA 30349-1291 | 2020-07-15 |
| 1043834724 | Renewed & Restored LLC | Clinic/Center | 2531 Briarcliff Rd Ne Ste 203, Atlanta, GA 30329-3017 | 2020-05-29 |
| 1316577091 | Lotus Therapeutic Services | Clinic/Center | 2900 Chamblee Tucker Rd, Atlanta, GA 30341-4100 | 2020-01-22 |
| 1619515855 | Kylie Craine, Ph.d. | Clinic/Center | 1827 Powers Ferry Rd Se Bldg 22, Atlanta, GA 30339-5621 | 2019-12-18 |
| Find all providers in ATLANTA | ||||
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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.