A FAMILY FIRST COMMUNITY SERVICES, LLC (NPI# 1346401064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1346401064 |
| Entity Type | Organization |
| Organization Name | A FAMILY FIRST COMMUNITY SERVICES, LLC |
| Practice Address |
2193 Northlake Pkwy Suite 25 Tucker GA 30084-4116 |
| Practice Telephone | 7704149676 |
| Practice Fax Number | 7704148415 |
| Mailing Telephone | 7704149676 |
| Mailing Fax Number | 7704148415 |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2008-06-25 |
| Authorized Official Name | MRS. SUBRINIA BLANCHARD (CEO) |
| Authorized Official Telephone | 7704149676 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
GA | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 839321842A | 05 |
| Street Address |
2193 NORTHLAKE PKWY SUITE 25 |
| City | TUCKER |
| State | GA |
| Zip Code | 30084-4116 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770504631 | Winfield E Butlin | Podiatrist | 2193 Northlake Pkwy, Ste 114, Tucker, GA 30084-4116 | 2006-07-23 |
| 1528225653 | Vpg 1, LLC | Podiatrist | 2193 Northlake Pkwy, Suite 114, Tucker, GA 30084-4116 | 2008-05-16 |
| 1336311620 | Peachtree Podiatry Group | Podiatrist | 2193 Northlake Pkwy, Suite 114, Tucker, GA 30084-4116 | 2008-03-27 |
| 1548282551 | John A Ruch | Podiatrist | 2193 Northlake Pkwy, Ste 114, Tucker, GA 30084-4116 | 2006-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609401355 | Excellent Medical Transport | Ambulance | 4378 Sentry Dr, Tucker, GA 30084 | 2020-03-03 |
| 1811468796 | Caleb Lee Ebbets | Physical Therapist | 1459 Montreal Road, Medical Office Building, Suite 301, Tucker, GA 30084 | 2018-12-17 |
| 1417436130 | Benjamin Han Wook Chong | Physical Therapist | 1460 Montreal Road East, Suite 300, Tucker, GA 30084 | 2018-08-13 |
| 1336659325 | Lavista Acupuncture and Herbal Medicine | Acupuncturist | 4915 Lavista Rd, Tucker, GA 30084 | 2017-10-04 |
| 1699294207 | Debrica Butler | Counselor | 1021 Oak Chase Dr., Apt C, Tucker, GA 30084 | 2017-09-14 |
| 1295264695 | Jolanta Wazgowska Hopkins | Social Worker | 4404 Idlewood Lane, Tucker, GA 30084 | 2017-06-08 |
| 1164956157 | Sage Dental Group of Georgia LLC | Dentist | 4320 Lavista Rd, Suite C119, Tucker, GA 30084 | 2017-04-17 |
| 1689107807 | Mashail Manzur | Podiatrist | 1460 Montreal Rd E, Ste 275, Tucker, GA 30084 | 2017-04-05 |
| 1053765578 | Jessica Spruyt | Speech-Language Pathologist | 3756 Lavista Rd Suite 104, Tucker, GA 30084 | 2016-04-21 |
| 1265802318 | Spine and Orthopedics of Atlanta, LLC | Clinic/Center | 1462 Montreal Rd Ste 218, Tucker, GA 30084 | 2015-10-01 |
| Find all providers in zip 30084 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699239475 | Louise Wise LLC | Clinic/Center | 2206 Hanfred Ln Ste 103, Tucker, GA 30084-4809 | 2019-01-26 |
| 1134395551 | Family Works, Inc. | Clinic/Center | 1926 Northlake Pkwy, Suite 101, Tucker, GA 30084-7069 | 2008-05-06 |
| 1326683517 | Integrative Counseling and Psychological Services LLC | Clinic/Center | 4229 1st Ave Ste C, Tucker, GA 30084-4469 | 2019-11-12 |
| 1710239942 | Jenelle Martin, M.d., P.C. | Clinic/Center | 3469 Lawrenceville Hwy, Suite 103, Tucker, GA 30084-5888 | 2012-10-11 |
| 1295953693 | Lds Family Services | Clinic/Center | 4823 N Royal Atlanta Dr, Tucker, GA 30084-3806 | 2007-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596646 | Bhg Lxvi, LLC | Clinic/Center | 1021 Alabama Avenue, Bremen, GA 30110 | 2020-10-22 |
| 1801495213 | New Orleans Caring Hands LLC | Clinic/Center | 4696 Balley Shannon Dr Se, Mableton, GA 30126-1763 | 2020-10-19 |
| 1205434594 | Sunflower Counseling Center | Clinic/Center | 950 Eagles Landing Pkwy Ste 202, Stockbridge, GA 30281-7343 | 2020-10-09 |
| 1124632013 | Dunwoody Mental Health Center | Clinic/Center | 4594 Barclay Dr, Atlanta, GA 30338-5883 | 2020-09-08 |
| 1093327488 | Elevate Behavioral Health | Clinic/Center | 304 Cumberland Way Se, Smyrna, GA 30080-7766 | 2020-08-18 |
| 1346851292 | Solacium Holding LLC | Clinic/Center | 960 N Point Pkwy Ste 450, Alpharetta, GA 30005-2034 | 2020-08-13 |
| 1962012153 | Janel Falvey LLC | Clinic/Center | 340 Eisenhower Dr Bldg 300, Savannah, GA 31406-1600 | 2020-08-03 |
| 1386252948 | Endpoints LLC | Clinic/Center | 3036 General Lee Rd, Macon, GA 31204-1518 | 2020-07-20 |
| 1790393684 | Reclaimu Healthcare Services, LLC | Clinic/Center | 2037 Ema Dell Pl, Loganville, GA 30052-5375 | 2020-07-16 |
| 1972120970 | Imagine New Beginnings | Clinic/Center | 3125 Colonial Way Apt J, Atlanta, GA 30341-5339 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on A FAMILY FIRST COMMUNITY SERVICES, 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.