ATLANTA FAMILY COUNSELING CENTER, INC (NPI# 1487734372) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1487734372 |
| Entity Type | Organization |
| Organization Name | ATLANTA FAMILY COUNSELING CENTER, INC |
| Practice Address |
190 Camden Hill Rd Suite A Lawrenceville GA 30045-2448 |
| Practice Telephone | 7705138988 |
| Practice Fax Number | 7705132565 |
| Mailing Telephone | 7705138988 |
| Mailing Fax Number | 7705132565 |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MS. MICHELE A HOLSTAD (OWNER) |
| Authorized Official Telephone | 7705138988 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| X | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LPC002598 | GA | Behavioral Health & Social Service Providers |
| X | 101YM0800X |
Counselor Specialization: Mental Health |
LPC002598 | GA | Behavioral Health & Social Service Providers |
| X | 101YP2500X |
Counselor Specialization: Professional |
LPC002598 | GA | Behavioral Health & Social Service Providers |
| Street Address |
190 CAMDEN HILL RD SUITE A |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-2448 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790238525 | Amber Belle | Social Worker | 190 Camden Hill Rd, Ste A, Lawrenceville, GA 30046-2448 | 2016-07-28 |
| 1245645621 | Kimberly Boykin | Counselor | 190 Camden Hill Rd, Suite A, Lawrenceville, GA 30046-2448 | 2014-06-24 |
| 1518207489 | Heather Mathis | Counselor | 190 Camden Hill Rd, Lawrenceville, GA 30046-2448 | 2013-02-28 |
| 1760781942 | Jennifer Hope | Counselor | 190 Camden Hill Rd, Suite A, Lawrenceville, GA 30046-2448 | 2011-03-27 |
| 1760719736 | Stacy Nichols Collins | Counselor | 190 Camden Hill Rd, Suite A, Lawrenceville, GA 30046-2448 | 2009-11-11 |
| 1124165394 | Diana G. Kinard | Social Worker | 190 Camden Hill Rd, Suite A, Lawrenceville, GA 30045-2448 | 2007-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669944260 | James Antonio Smith | Counselor | 669 Castlebottom Dr, Lawrenceville, GA 30045-2796 | 2018-12-19 |
| 1598269623 | Shaheed Muslim Shabazz | Counselor | 208 Johnson Ave, Lawrenceville, NJ 08648-3418 | 2018-03-22 |
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| 1346631991 | Approved Dui Risk Reduction Program, LLC | Counselor | 5 Hurricane Shoals Rd Ne Ste C, Lawrenceville, GA 30046-4562 | 2015-02-17 |
| 1669870879 | Rosendo Rodriguez | Counselor | 1196 Ruby Nelson Ct., Lawrenceville, GA 30043 | 2014-12-22 |
| 1386961340 | Raul Rodriguez | Counselor | 1586 Atkinson Rd, Suite 103, Lawrenceville, GA 30043-5972 | 2010-04-29 |
| 1831310309 | Adria Trapani-barnacz | Counselor | 134 Franklin Corner Rd, Ste 3, Lawrenceville, NJ 08648-2527 | 2007-05-01 |
| 1790806164 | Richard A. Gordon | Counselor | 1687 Lawrenceville Rd, Lawrenceville, NJ 08648-2901 | 2007-04-03 |
| 1588757496 | Betty J Weber | Counselor | 183 Franklin Corner Rd, Lawrenceville, NJ 08648 | 2006-10-02 |
| 1285130054 | Kudirat A Onitiri | Counselor | 9 Gordon Ave, Lawrenceville, NJ 08648-1004 | 2018-04-02 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on ATLANTA FAMILY COUNSELING CENTER, INC.
| 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.