CREATING CONSCIOUS CONNECTIONS, LLC


Address: 1827 Powers Ferry Road, Building 21 - Suite 350, Atlanta, GA 30339
Phone: 7709561056

CREATING CONSCIOUS CONNECTIONS, LLC (NPI# 1508327305) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1508327305
Entity Type Organization
Organization Name CREATING CONSCIOUS CONNECTIONS, LLC
Practice Address 1827 Powers Ferry Road
Building 21 - Suite 350
Atlanta
GA 30339
Mailing Address 3315 South Cobb Drive
Suite 700 #813386
Smyrna
GA 30080
Practice Telephone 7709561056
Mailing Telephone 7709561056
Enumeration Date 2019-03-26
Last Update Date 2019-03-26
Authorized Official Name MR. ROBERT MATHIS (OWNER)
Authorized Official Telephone 7709561056
Authorized Official Credential LCSW
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
Behavioral Health & Social Service Providers

Office Location

Street Address 1827 POWERS FERRY ROAD
BUILDING 21 - SUITE 350
City ATLANTA
State GA
Zip Code 30339

Providers in the same location

NPI Name Taxonomy Address Enumeration
1063509321 Judi Lee Webb Psychologist 1827 Powers Ferry Road, Building 22 Suite 200, Atlanta, GA 30339-5621 2006-10-06
1780879320 Brian Joseph Smith Counselor 1827 Powers Ferry Road, Building 22, Suite 200, Atlanta, GA 30339 2007-09-06

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1891303426 Cheryl E Williams Counselor 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 2020-07-20
1245854371 Synergia Integrated Telebehavioral Health Clinic/Center 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 2020-06-04
1972123883 Elizabeth Newton, Psyd and Assoc Inc Psychologist 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 2020-04-21
1881165207 Le Reve Medical Clinic PC Family Medicine 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 2018-12-11
1013499821 Deonna Pennamon Specialist/Technologist 5625 Suffex Green Lane, Atlanta, GA 30339 2018-08-29
1205326915 Matthew Buyert Counselor 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 2018-05-17
1760991632 Horizons Unlimited Professional Services Inc. Community/Behavioral Health 1755 The Exchange Se Ste 190, Atlanta, GA 30339 2017-09-23
1932624418 Kheder Basheer Student in an Organized Health Care Education/Training Program 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 2017-08-07
1417486820 Ashley Drake Counselor 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 2017-06-08
1992248298 New Legacy Counseling and Training Center Point of Service 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 2016-11-18
Find all providers in zip 30339

Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1619225315 Kourtney Denise Carter Social Worker 1000 Johnson Ferry Road N.e., Atlanta, GA 30342-1611 2012-08-28
1932734159 Kaylee Waldron Social Worker 6645 Peachtree Dunwoody Rd, Atlanta, GA 30328-1606 2020-03-09
1831521533 Innovative Options Social Worker 2016 Sandtown Rd Sw, Atlanta, GA 30311-3420 2013-08-05

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1003319815 Laverne Latrice Scott Social Worker 2237 14th St, Columbus, GA 31906-2005 2018-03-18
1134751233 A New Normal Behavioral Wellness Solutions LLC Social Worker 1142 Dawson Rd Ste 103, Albany, GA 31707-6800 2020-02-06
1003453507 Latanja Renee Bateman Social Worker 415 N Jackson St, Americus, GA 31709-3015 2019-12-03
1083869127 Marissa Taylor Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2008-11-17
1104070978 Cheryl Henderson Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2008-11-06
1245483312 Arlene Johnson Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2008-11-03
1639329642 Latasha Leonard Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2008-09-26
1770731440 Joann Brown Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2008-09-05
1881841351 Shon Barnett Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2008-08-26
1043467699 Yolanda Clay Social Worker 2100 Comer Ave, Columbus, GA 31904-8725 2008-08-26
Find all providers with the same taxonomy

Competitor

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City ATLANTA
Zip Code 30339

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Dataset Information

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.

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