REALIZE LIFE COACHING, LLC (NPI# 1417374398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417374398 |
| Entity Type | Organization |
| Organization Name | REALIZE LIFE COACHING, LLC |
| Practice Address |
1924 Clairmont Rd Decatur GA 30033-3438 |
| Mailing Address |
949 Longley Ave Nw Atlanta GA 30318-5205 |
| Practice Telephone | 4049649814 |
| Mailing Telephone | 4049649814 |
| Enumeration Date | 2014-03-27 |
| Last Update Date | 2014-03-27 |
| Authorized Official Name | MARCIA MILLER (SOCIAL WORKER AND LIFE COACH) |
| Authorized Official Telephone | 4049649814 |
| Authorized Official Credential | MPH, LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | MSW005540 | GA | Behavioral Health & Social Service Providers |
| Street Address |
1924 CLAIRMONT RD |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-3438 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912009184 | Michael Alan Carpenter | Dentist | 1924 Clairmont Rd, Suite 100, Decatur, GA 30033-3412 | 2006-09-01 |
| 1912342486 | Camp Psychological | Psychologist | 1924 Clairmont Rd, 200, Decatur, GA 30033-3438 | 2013-05-09 |
| 1750692596 | Pauline Ann Mckenzie-day | Counselor | 1924 Clairmont Rd, Ste 160, Decatur, GA 30033-3438 | 2010-06-26 |
| 1467780296 | Christina Marie Camp | Psychologist | 1924 Clairmont Rd, Suite 200, Decatur, GA 30033-3438 | 2009-12-07 |
| 1669516522 | Nancy Lewis | Psychologist | 1924 Clairmont Rd, Suite 120, Decatur, GA 30033-3438 | 2007-02-16 |
| 1649313602 | Edward Oliver Nix | Psychiatry & Neurology | 1924 Clairmont Rd, 10, Decatur, GA 30033-3438 | 2007-02-15 |
| 1316049349 | Lauren D Alloy | Social Worker | 1924 Clairmont Rd, Decatur, GA 30033-3438 | 2006-09-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386276467 | Aweh Support | Social Worker | 3498 Brycewood Dr, Decatur, GA 30034-6264 | 2020-02-06 |
| 1992342638 | Kuyom R Davenport | Social Worker | 2459 Candler Rd, Decatur, GA 30032-6400 | 2019-12-02 |
| 1093284291 | Eliza Segell | Social Worker | 165 Dekalb Industrial Way Ste D-1, Decatur, GA 30030 | 2018-11-16 |
| 1801393103 | Albert Leon Phillips Jr. | Social Worker | 2741 Glenvalley Dr, Decatur, GA 30032-4207 | 2018-04-12 |
| 1578091013 | Giovanna Farnum | Social Worker | 440 Winn Way Fl 3, Decatur, GA 30030-1715 | 2017-05-29 |
| 1124562475 | Catherine Berry Moon | Social Worker | 317 W Hill St Ste 203b, Decatur, GA 30030 | 2016-12-06 |
| 1871047720 | Breanna Kelly | Social Worker | 4026 Birchwood Cv, Decatur, GA 30034-5251 | 2016-08-09 |
| 1053791335 | Sherri Cohen | Social Worker | 255 Grant St Se, Ste 303, Decatur, AL 35601-2505 | 2015-06-02 |
| 1669875423 | Tigilayo Fadahunsi | Social Worker | 10301 Jefferson Square Ct, Decatur, GA 30030-1740 | 2014-10-07 |
| 1255733028 | Cherissa Mcconnell | Social Worker | 407 Park West Ct, Decatur, TX 76234-3264 | 2014-09-23 |
| Find all providers in DECATUR | ||||
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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.