DOROTHY EBERHART LCSW, LLC (NPI# 1497014450) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497014450 |
| Entity Type | Organization |
| Organization Name | DOROTHY EBERHART LCSW, LLC |
| Practice Address |
5605 Glenridge Dr Ne Suite 600 Atlanta GA 30342-1365 |
| Mailing Address |
4577 Village Dr Dunwoody GA 30338-5741 |
| Practice Telephone | 7703674090 |
| Mailing Telephone | 7703674090 |
| Enumeration Date | 2012-05-11 |
| Last Update Date | 2012-05-11 |
| Authorized Official Name | DOROTHY EBERHART (SOLE MEMBER) |
| Authorized Official Telephone | 7703674090 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CSW003039 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NPI TYPE 1 | 1821369133 | 01 |
| Street Address |
5605 GLENRIDGE DR NE SUITE 600 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30342-1365 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639286198 | Joni E Prince Phd PC | Psychologist | 5605 Glenridge Dr Ne, Suite 620, Atlanta, GA 30342-1365 | 2006-08-23 |
| 1407116387 | Thomas D. Friedrichs Ph.d. P.C. | Psychologist | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1365 | 2012-05-24 |
| 1821369133 | Dorothy Freeman Eberhart | Social Worker | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1365 | 2012-01-18 |
| 1326317488 | Pioneer Psychological Associates, LLC | Psychologist | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1365 | 2011-12-19 |
| 1144554304 | Amanda E. Williams, M.d., Inc. | Psychiatry & Neurology | 5605 Glenridge Dr Ne, Suite 620, Atlanta, GA 30342-1365 | 2009-09-21 |
| 1881862639 | Thelema C Martin | Dietitian, Registered | 5605 Glenridge Dr Ne, Suite 1050, Atlanta, GA 30342-1365 | 2008-02-14 |
| 1225168800 | Lauren Magalnick Berman | Psychologist | 5605 Glenridge Dr Ne, Atlanta, GA 30342-1365 | 2007-03-06 |
| 1699804385 | Thomas Donnelly Friedrichs | Psychologist | 5605 Glenridge Dr Ne, Suite 600, Atlanta, GA 30342-1365 | 2007-03-05 |
| 1770611048 | Herman William Martin Jr. | Psychiatry & Neurology | 5605 Glenridge Dr Ne, Suite 605, Atlanta, GA 30342-1365 | 2007-03-01 |
| 1215097894 | James Allan Purvis | Clinical Neuropsychologist | 5605 Glenridge Dr Ne, Suite 620, Atlanta, GA 30342-1365 | 2006-12-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820614 | Nia Charnice Griffin | Nurse Practitioner | 5670 Peachtree Dunwoodyroad, Suite 900, Atlanta, GA 30342 | 2020-10-26 |
| 1255945184 | Jennifer Lynne Cole | Behavior Technician | 5555 Glenridge Con Suite 200, Atlanta, GA 30342 | 2020-09-08 |
| 1093336232 | Van Tran | Respiratory Therapist, Registered | 1000 Johnson Ferry Rd Ne, Atlanta, Ga 30342, Atlanta, GA 30342 | 2020-04-28 |
| 1356978340 | Twyla Douglas Jackson I | Clinical Nutrition, 1000 Johnson Ferry Rd Ne, Atlanta, GA 30342 | 2020-03-27 | |
| 1760013411 | Emily Hamm | Dietitian, Registered | 933 D Johnson Ferry Road, Suite 250, Atlanta, GA 30342 | 2020-01-31 |
| 1043855984 | Mackenzie Tucker Wayda | Registered Nurse | 1001 Johnson Ferry Rd. Ne, Atlanta, GA 30342 | 2019-11-14 |
| 1386288454 | Tiauna Lashun Cochman | Psychologist | 1307 Glenridge Dr, Sandy Springs, GA 30342 | 2019-11-01 |
| 1164074399 | Stephen J. White | Hearing Instrument Specialist | 5775 Peachtree Dunwoody Rd Suite 600 Fl. 6, Uhc Hearing, Atl., GA 30342 | 2019-07-09 |
| 1144788142 | Jaytyn LLC | Internal Medicine | 4600 Broswell Road, Atlanta, GA 30342 | 2019-03-08 |
| 1760954705 | Mishele Walker LLC | Counselor | 555 Glenridge Connector, Suite 200, Sandy Springs, GA 30342 | 2018-12-31 |
| Find all providers in zip 30342 | ||||
| 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 |
|---|---|---|---|---|
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1700427820 | Trust2change, LLC. | Community/Behavioral Health | 2900 Chamblee Tucker Rd Bldg 8, Atlanta, GA 30341-4100 | 2019-09-30 |
| 1538712088 | Ferris Healthcare Group | Community/Behavioral Health | 2900 Paces Ferry Rd Se Bldg C, Atlanta, GA 30339-5702 | 2019-07-23 |
| 1245890987 | Soc Integrated Services, LLC | Community/Behavioral Health | 130 Wynfield Way Sw, Atlanta, GA 30331-6837 | 2019-06-15 |
| 1770046740 | Z-one Incorporated | Community/Behavioral Health | 505 Tufton Trl Se, Atlanta, GA 30354-2867 | 2019-04-08 |
| 1003377086 | Chris 180, Inc. | Community/Behavioral Health | 3700 Martin Luther King Dr Sw, Atlanta, GA 30331-3674 | 2019-03-30 |
| 1144790783 | Danielle Smith | Community/Behavioral Health | 880 Glenwood Ave Se Unit 3185, Atlanta, GA 30316-1955 | 2018-11-27 |
| 1073083762 | Michael Pollock | Community/Behavioral Health | 3725 Princeton Lakes Pkwy Sw Apt 7003, Atlanta, GA 30331-5560 | 2018-11-26 |
| 1851881353 | Atlanta Life Journeys Services, LLC | Community/Behavioral Health | 3196 Dogwood Dr, Atlanta, GA 30354-1149 | 2018-05-10 |
| Find all providers in ATLANTA | ||||
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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.