VILLAGE LIFE,LLC (NPI# 1487106563) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487106563 |
| Entity Type | Organization |
| Organization Name | VILLAGE LIFE,LLC |
| Practice Address |
569 Granite Ct Lawrenceville GA 30044-6931 |
| Practice Telephone | 4043532227 |
| Mailing Telephone | 4043532227 |
| Enumeration Date | 2016-10-25 |
| Last Update Date | 2016-10-25 |
| Authorized Official Name | MIA GARRET (FOUNDER/PROGRAM DEVELOPER) |
| Authorized Official Telephone | 4043532227 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CSW005893 | GA | Agencies |
| Street Address |
569 GRANITE CT |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30044-6931 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740811892 | Berry and Mitchell Hands of Caring | Nurse's Aide | 1180 Market Square Lane, Lawrenceville, GA 30044 | 2020-01-28 |
| 1457995045 | Reagan Urgent Care | Clinic/Center | 2878 Five Forks Trickum Rd Ste 2a, Lawrenceville, GA 30044 | 2019-11-06 |
| 1194373621 | Kaseem Beck | Dentist | Gwinnett Family Dental Care, 3455 Lawrenceville Hwy, Lawrenceville, GA 30044 | 2019-08-28 |
| 1053965525 | Imani Anderson | Speech-Language Pathologist | 2775 Cruse Rd Suite 2002, Lawrenceville, GA 30044 | 2019-08-01 |
| 1598329625 | Zam Zam Family Clinic LLC | Clinic/Center | 965 Oakland Road, Bldg 3 Ste D & E, Lawrenceville, GA 30044 | 2019-04-24 |
| 1659858991 | Apex Eyecare | Optometrist | 3694 Club Drive Unit 101, Lawrenceville, GA 30044 | 2018-07-19 |
| 1538657549 | Georgia Comprehensive Family Clinic & Natural Health | Naturopath | 1065 Pleasant Hill Rd, Lawrenceville, GA 30044 | 2018-04-25 |
| 1316434095 | Children's Dentistry of Lithonia, LLC | Dentist | 4850 Sugarloaf Parkway, Ste 611, Lawrenceville, GA 30044 | 2018-04-18 |
| 1831619337 | Legacy Healthcare Services, Inc. | Occupational Therapist | 2899 Five Forks Trickum Rd Apt 204, Lawrenceville, GA 30044 | 2017-06-26 |
| 1326582859 | Ana Coronado | Social Worker | 965 Oakland Road Nw, Suite 3b, Lawrenceville, GA 30044 | 2016-12-19 |
| Find all providers in zip 30044 | ||||
| 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 |
|---|---|---|---|---|
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1730725862 | The Arc/mercer Inc. | Community/Behavioral Health | 28 Freedom Ct, Lawrenceville, NJ 08648-4552 | 2019-11-25 |
| 1558907683 | The Arc/mercer Inc. | Community/Behavioral Health | 30 Freedom Ct, Lawrenceville, NJ 08648-4552 | 2019-11-25 |
| 1659930279 | Smart Guobadia | Community/Behavioral Health | 1174 Mckendree Church Rd Ste 100, Lawrenceville, GA 30043-6000 | 2019-06-07 |
| 1518459270 | Eagle Counseling & Consulting LLC | Community/Behavioral Health | 1561 Bramlett Hill Ln, Lawrenceville, GA 30045-2601 | 2018-05-30 |
| 1457871782 | Serv Achievement Centers Inc | Community/Behavioral Health | 6 Wilk Ct, Lawrenceville, NJ 08648-1463 | 2017-06-27 |
| 1699206177 | Hrs Consulting LLC | Community/Behavioral Health | 800 Livery Cir, Lawrenceville, GA 30046-9345 | 2017-03-25 |
| 1679955132 | Arc Mercer, Inc | Community/Behavioral Health | 2350 Princeton Pike, Apt 425, Lawrenceville, NJ 08648-3937 | 2015-06-22 |
| 1740662204 | Arc Mercer, Inc | Community/Behavioral Health | 423 Lawrenceville Rd, Apt 510, Lawrenceville, NJ 08648-4229 | 2015-06-22 |
| 1386026987 | Arc Mercer, Inc | Community/Behavioral Health | 19 E Darrah Ln, Lawrenceville, NJ 08648-3715 | 2015-06-19 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30044 |
Please comment or provide details below to improve the information on VILLAGE LIFE,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.