REVIVE COUNSELING & CONSULTING, LLC (NPI# 1336558204) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336558204 |
| Entity Type | Organization |
| Organization Name | REVIVE COUNSELING & CONSULTING, LLC |
| Practice Address |
750 Hammond Dr Building 4, Suite 300 Atlanta GA 30328-5532 |
| Practice Telephone | 4045906005 |
| Mailing Telephone | 4045906005 |
| Enumeration Date | 2014-08-05 |
| Last Update Date | 2014-08-05 |
| Authorized Official Name | LAUREN BAKER (OWNER/ THERAPIST) |
| Authorized Official Telephone | 4045906005 |
| Authorized Official Credential | M.A., LMFT, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
LPC007169 | GA | Behavioral Health & Social Service Providers |
| Y | 106H00000X | Marriage & Family Therapist | MFT001272 | GA | Behavioral Health & Social Service Providers |
| Street Address |
750 HAMMOND DR BUILDING 4, SUITE 300 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30328-5532 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346259264 | Ann Claudette Waters | Counselor | 750 Hammond Dr, Building 10, Suite 100, Atlanta, GA 30328-5532 | 2006-08-07 |
| 1023571262 | Jeralyn Tausha Bowden | Behavior Technician | 750 Hammond Dr, Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-04-12 |
| 1992261564 | Ashling Patricia Hollis | Behavior Technician | 750 Hammond Dr, Atlanta, GA 30328-5532 | 2019-02-19 |
| 1952875833 | Erin Mewhinney | Behavior Technician | 750 Hammond Dr, Atlanta, GA 30328-5532 | 2019-01-14 |
| 1114429347 | Dana Oh | Occupational Therapist | 750 Hammond Dr, Atlanta, GA 30328-5532 | 2018-03-04 |
| 1437674587 | Dogwood Autism Services, LLC | Behavioral Analyst | 750 Hammond Dr, Building 7 Suite 100, Atlanta, GA 30328 | 2017-08-10 |
| 1467983353 | Brooke Ebel | Behavioral Analyst | 750 Hammond Dr, Building 7 Suite 100, Atlanta, GA 30328 | 2017-03-23 |
| 1285189696 | Tara Gogerty | Occupational Therapist | 750 Hammond Dr, Building 4, Suite 100, Atlanta, GA 30328-5532 | 2016-08-16 |
| 1770945362 | Omni Primary Care, PC | Clinic/Center | 750 Hammond Dr, Bldg 8 - 100, Atlanta, GA 30328-5532 | 2016-03-23 |
| 1336557024 | April Coleman | Psychologist | 750 Hammond Dr, Building 10 Suite 100, Atlanta, GA 30328-5532 | 2014-07-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467910042 | Amber Andrews | Behavior Technician | 750 Hammond Drive Bldg 7 Suite 100, Atlanta, GA 30328 | 2019-03-04 |
| 1215492830 | Ryan William Dubinin | Behavior Technician | 750 Hammond Drive, Building 7, Suite 100, Atlanta, NJ 30328 | 2019-02-07 |
| 1346710142 | Emily Rose Lloyd Swavely | Speech-Language Pathologist | 5825 Glenridge Rd., Building 1, Suite 133, Atlanta, GA 30328 | 2018-12-05 |
| 1063994481 | Mark Edward Brachmanski | Optometrist | 800 Mount Vernon Highway Ne, Suite 130, Atlanta, GA 30328 | 2018-09-01 |
| 1407352578 | Nina Brown | Massage Therapist | 7100 Peachtree Dunwoody Rd Ste 110, Sandy Springs, GA 30328 | 2018-04-05 |
| 1336657741 | Renee Usher Reeves | Assistant Behavior Analyst | 750 Hammond Dr Building 7, Suite 100, Atlanta, GA 30328 | 2018-01-19 |
| 1487168274 | Patricia Nicole Felder | Student in an Organized Health Care Education/Training Program | 270 Carpenter Dr, Ne, Suite # 400, Atlanta, GA 30328 | 2017-12-01 |
| 1447762927 | Ponders Podiatry LLC | Podiatrist | 275 Carpenter Drive Ne, Suite 106, Atlanta, GA 30328 | 2017-10-24 |
| 1770093601 | Syed M Rasheed | Physician Assistant | 5788 Roswell Rd Ste 100, Atlanta, GA 30328 | 2017-10-05 |
| 1437678190 | Jeanette Denise Jones | Counselor | 270 Carpenter Drive, Suite 400, Sandy Springs, GA 30328 | 2017-09-13 |
| Find all providers in zip 30328 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861019846 | Britney Ledford | Marriage & Family Therapist | 1760 Northside Dr Nw Apt 104, Atlanta, GA 30318-2666 | 2020-06-25 |
| 1215556717 | Ronika Cotton | Marriage & Family Therapist | 2002 Summit Boulevard, Suite 300, Atlanta, GA 30319 | 2020-04-14 |
| 1457981938 | Kelly Grant Stephens | Marriage & Family Therapist | 4200 Northside Pkwy Nw Bldg 6, Atlanta, GA 30327-3007 | 2020-01-23 |
| 1457991085 | Emily Carol Sands | Marriage & Family Therapist | 685 Linwood Ave Ne Ste 200d, Atlanta, GA 30306-4437 | 2020-01-12 |
| 1013559947 | Patricia Mccall Corlew | Marriage & Family Therapist | 36 Old Ivy Sq Ne, Atlanta, GA 30342-4271 | 2019-10-11 |
| 1073168100 | Renee Michelle Roski-holdo | Marriage & Family Therapist | 1900 The Exchange Se Ste 180, Atlanta, GA 30339-2049 | 2019-08-06 |
| 1609343789 | Sydney Nicole Gaines | Marriage & Family Therapist | 2636 Mlk Jr Dr Sw Ste 12and24, Atlanta, GA 30311-1634 | 2018-10-26 |
| 1336638022 | Robert Carroll II | Marriage & Family Therapist | 2375 Shallowford Rd Ne, Atlanta, GA 30345-1342 | 2018-05-08 |
| 1730677626 | Natasha Nicole Powell | Marriage & Family Therapist | 427 Moreland Ave Ne Ste 300, Atlanta, GA 30307-1500 | 2018-04-25 |
| 1669972469 | Ashley Nicole Miller | Marriage & Family Therapist | 3333 Piedmont Rd Ne Ste 2050, Atlanta, GA 30305-1713 | 2018-02-19 |
| Find all providers in ATLANTA | ||||
Please comment or provide details below to improve the information on REVIVE COUNSELING & CONSULTING, LLC.
| 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.