MATLOCK RESOURCE CENTER, LLC (NPI# 1639684533) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639684533 |
| Entity Type | Organization |
| Organization Name | MATLOCK RESOURCE CENTER, LLC |
| Practice Address |
2180 Satellite Blvd Ste 400 Duluth GA 30097-4927 |
| Mailing Address |
Po Box 711 Duluth GA 30096-0013 |
| Practice Telephone | 7704645831 |
| Enumeration Date | 2017-12-13 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MISS TAMELA MCDONALD (CEO/LEAD THERAPIST) |
| Authorized Official Telephone | 7704645831 |
| Authorized Official Credential | LPC, NCC, CCMHC |
| Is Organization Subpart | Y |
| Parent Organization Name | TAMELA R MCDONALD |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 3235 Satellite Blvd Ste 300, Duluth, GA 300968688 | 7704645831 |
| Street Address |
2180 SATELLITE BLVD STE 400 |
| City | DULUTH |
| State | GA |
| Zip Code | 30097-4927 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568532166 | Advantage Counseling Service, Inc | Community/Behavioral Health | 2180 Satellite Blvd Ste 400, Duluth, GA 30097-4927 | 2006-11-09 |
| 1215543897 | Allegiant In Home Care LLC | In Home Supportive Care | 2180 Satellite Blvd Ste 400, Duluth, GA 30097-4927 | 2020-09-19 |
| 1912519612 | Burrell Arkwright Comprehensive Services | Community/Behavioral Health | 2180 Satellite Blvd Ste 400, Duluth, GA 30097-4927 | 2020-08-24 |
| 1841756640 | Trinicia Pressley | Community/Behavioral Health | 2180 Satellite Blvd Ste 400, Duluth, GA 30097-4927 | 2019-02-16 |
| 1710442124 | Pressley's Care Services | Home Health | 2180 Satellite Blvd Ste 400, Duluth, GA 30097-4927 | 2019-02-10 |
| 1518422922 | Tmp Non Emergency Transportation LLC | Non-emergency Medical Transport (VAN) | 2180 Satellite Blvd Ste 400, Duluth, GA 30097-4927 | 2019-02-10 |
| 1255896668 | The Serenity Foundation of Seven, Inc | Clinic/Center | 2180 Satellite Blvd Ste 400, Duluth, GA 30097-4927 | 2019-02-10 |
| 1427579721 | Optimum Purpose Counseling and Education | Clinic/Center | 2180 Satellite Blvd Ste 400, Duluth, GA 30097-4927 | 2017-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659986057 | Herman Medical Solutions, LLC | Internal Medicine | 10700 Medlock Bridge Road, Suite 207, Duluth, GA 30097 | 2020-09-11 |
| 1649808619 | Kirsty Amber Ramirez | Behavior Technician | 218 Premiere Pkwy #500, Duluth, GA 30097 | 2020-03-27 |
| 1386277820 | Cristina Madalina Niculas | Pharmacist | Kroger Pharmacy 476, 6555 Sugarloaf Parkway, Duluth, GA 30097 | 2020-02-12 |
| 1619514924 | Opesdei Health Solutions | Home Health Aide | 6615 Abbotts Bridge Road, 6615 Abbotts Bridge Road Unit 1111, Johns Creek, GA 30097 | 2019-12-05 |
| 1700422979 | Ria Alexander | Nurse Practitioner | 6300 Hospital Parkway Ste 300, Johns Creek, GA 30097 | 2019-11-22 |
| 1043867765 | Mosesal Zakia White | Nurse Practitioner | 10680 Medlock Bridge Rd #102, Johns Creek, GA 30097 | 2019-08-19 |
| 1982187068 | Lighthouse Clinical Counseling, LLC | Counselor | 3883 Rogers Bridge Road, Suite 601, Duluth, GA 30097 | 2018-09-13 |
| 1376025643 | Faithe Beanne Kimsey | Counselor | 3883 Rogers Bridge Road Nw, Suite 601, Duluth, GA 30097 | 2018-09-04 |
| 1306330303 | Denise Jackson | Prosthetist | 11720 Medlock Bridge Rd Ste 155, Johns Creek, GA 30097 | 2018-06-21 |
| 1407363328 | Berkeley Van Dyke | Physical Therapist | 6335 Hospital Pkwy Ste 316, Johns Creek, GA 30097 | 2017-12-30 |
| Find all providers in zip 30097 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982915898 | Inner Fokus | Clinic/Center | 301 W 1st St Ste 503, Duluth, MN 55802-1634 | 2010-06-24 |
| 1083270227 | Kathryn Vaughn LLC | Clinic/Center | 3160 Main St Ste 102, Duluth, GA 30096-3461 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491172 | Life Compass Mental Health Services, LLC | Clinic/Center | 300 Colnl Ctr Pkwy Ste 100n, Roswell, GA 30076-4892 | 2020-09-12 |
| 1104437987 | Mimi Mcdonald LLC | Clinic/Center | 408 Creekstone Rdg, Woodstock, GA 30188-3740 | 2020-08-13 |
| 1396353884 | Atlanta Mental Wellness LLC | Clinic/Center | 1535 Mount Vernon Rd Ste B, Dunwoody, GA 30338-4149 | 2020-07-21 |
| 1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
| 1841808060 | By Grace Counseling LLC | Clinic/Center | 100 Hemingway Ln, Roswell, GA 30075-7024 | 2020-07-14 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1164055455 | New Perspectives Psychotherapy LLC | Clinic/Center | 10 N Clarendon Ave Ste B, Avondale Estates, GA 30002-1165 | 2020-02-15 |
| 1982234423 | All About You Counseling, LLC | Clinic/Center | 150 Prospect Pl, Alpharetta, GA 30005-5445 | 2020-01-23 |
| 1295372225 | Mental Space LLC | Clinic/Center | 4210 Columbia Rd Unit D, Martinez, GA 30907-0401 | 2019-12-10 |
| 1225679921 | Jacqueline Pickett Parrish | Clinic/Center | 3511 Willow Tree Trce, Decatur, GA 30034-3842 | 2019-10-03 |
| 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.