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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
Behavioral Health & Social Service Providers |
Street Address |
1827 POWERS FERRY ROAD BUILDING 21 - SUITE 350 |
City | ATLANTA |
State | GA |
Zip Code | 30339 |
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 |
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 Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
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 |
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 |
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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.