HOLISTIC ATLANTA LLC (NPI# 1427414622) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1427414622 |
| Entity Type | Organization |
| Organization Name | HOLISTIC ATLANTA LLC |
| Other Organization Name | HOLISTIC ATL |
| Practice Address |
3247 Rockview Dr Lithonia GA 30038-3032 |
| Practice Telephone | 4048080870 |
| Enumeration Date | 2016-01-05 |
| Last Update Date | 2016-01-05 |
| Authorized Official Name | MR. VAUGHN GAY (OWNER) |
| Authorized Official Telephone | 4048080870 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| Holistic ATL | Doing Business As Name - Organization |
| Street Address |
3247 ROCKVIEW DR |
| City | LITHONIA |
| State | GA |
| Zip Code | 30038-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255846077 | Vaughn Gay | Counselor | 3247 Rockview Dr, Lithonia, GA 30038-3032 | 2017-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548814825 | Cynthia Thomas | Nurse's Aide | 5021 Chupp Way, Lithonia, GA 30038 | 2019-07-25 |
| 1558812131 | Fresenius Medical Care Redan, LLC | Clinic/Center | 8425 Mall Parkway, Lithonia, GA 30038 | 2016-10-19 |
| 1730637059 | Flora's Loving Hands | Psychologist | 4891 Eagles Ridge Loop, Lithonia, GA 30038 | 2016-09-15 |
| 1679921886 | Mercy Oyerinde | Nurse Practitioner | 4742 Lanten Court., Lithonia, GA 30038 | 2016-05-27 |
| 1982020996 | Dina Rebecca Smith | Counselor | 6474 Gina Agha Circle, Lithonia, GA 30038 | 2014-03-14 |
| 1164765889 | Kimberly A Weems | Home Health | 6694 Brownsmill Ferry Drive, Lithonia, GA 30038 | 2013-04-01 |
| 1073850988 | Pain and Spine Solutions, LLC | Specialist | 3974 Glen Park Drive, Lithonia, GA 30038 | 2013-01-11 |
| 1629337514 | Fozi Ouse Adem | Pharmacist | 3140 Turner Hill Road, Lithonia, GA 30038 | 2012-05-11 |
| 1043579402 | Elizabeth Anne Berlin | Physician Assistant | 8825 Mall Parkway, Suite 150, Lithonia, GA 30038 | 2012-05-04 |
| 1730467911 | From Our Heart To Your Heart Personal Care Home | Custodial Care Facility | 4485 Idlewood Park, Lithonia, GA 30038 | 2011-07-22 |
| Find all providers in zip 30038 | ||||
| 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] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205470143 | Capoe LLC | Community/Behavioral Health | 5609 Fox Den Trl, Lithonia, GA 30038-1602 | 2019-11-04 |
| 1174093439 | United Health Care Resource Service LLC | Community/Behavioral Health | 475 S Deshon Rd, Lithonia, GA 30058-9051 | 2018-11-29 |
| 1285091769 | Beth A Harper Rodriguez | Community/Behavioral Health | 993 Palmer Rd, Lithonia, GA 30058-9088 | 2016-01-28 |
| 1558768531 | Safe Haven House Inc | Community/Behavioral Health | 6754 Grey Rock Way, Lithonia, GA 30058 | 2014-11-19 |
| 1568886034 | Positive Life Directions, LLC | Community/Behavioral Health | 7137 Brecken Pl, Lithonia, GA 30058-2968 | 2014-02-04 |
| 1912247073 | Epic Empowering People In Communities, Inc. | Community/Behavioral Health | 585 Shadow Lake Dr, Lithonia, GA 30058-3261 | 2013-02-26 |
| 1033454533 | Naji Counseling and Consulting, LLC | Community/Behavioral Health | 978 Alford Xing, Lithonia, GA 30058-3149 | 2012-12-10 |
| 1043572761 | T&m Special Carem LLC | Community/Behavioral Health | 1947 Lown Farm Trl, Lithonia, GA 30058-8958 | 2012-06-08 |
| 1992000194 | M&e Counseling and Consulting | Community/Behavioral Health | 5028 Thompson Mill Rd, Lithonia, GA 30038-2335 | 2011-01-19 |
| 1205144391 | Grace Tlc Assisted Living LLC | Community/Behavioral Health | 6622 Chiapuk Ct, Lithonia, GA 30038-3150 | 2010-09-22 |
| Find all providers in LITHONIA | ||||
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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.