CIRCLE OF THERAPEUTIC ALLIANCE AND CONSULTING, LLC (NPI# 1760004758) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760004758 |
| Entity Type | Organization |
| Organization Name | CIRCLE OF THERAPEUTIC ALLIANCE AND CONSULTING, LLC |
| Practice Address |
159 Burke St Ste 250 Stockbridge GA 30281-3430 |
| Mailing Address |
831 Sylvan Pl Sw Atlanta GA 30310-4938 |
| Practice Telephone | 4702061260 |
| Practice Fax Number | 6785504207 |
| Mailing Telephone | 4702061260 |
| Mailing Fax Number | 6785504207 |
| Enumeration Date | 2020-05-12 |
| Last Update Date | 2020-11-09 |
| Authorized Official Name | DR. NAOMI BLACK (CEO/MANAGING DIRECTOR) |
| Authorized Official Telephone | 4045568235 |
| Authorized Official Credential | DEL |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251S00000X | Community/Behavioral Health | Agencies | ||
| Y | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 7420 Southlake Pkwy Ste H, Jonesboro, GA 302367907 | 7704079259 | 6785504207 |
| Street Address |
159 BURKE ST STE 250 |
| City | STOCKBRIDGE |
| State | GA |
| Zip Code | 30281-3430 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164039095 | Colette Alls | Social Worker | 447 Lakeshore Dr, Stockbridge, GA 30281 | 2020-09-24 |
| 1982216800 | Pediatric and Family Behavioral Health of Georgia | Counselor | 1004 Ulster Court, Stockbridge, GA 30281 | 2020-08-21 |
| 1518577659 | Qunique Taveka Toxey | Behavior Technician | 115 N Park Trail, Suite 123, Stockbridge, GA 30281 | 2020-08-04 |
| 1497377675 | Melanie Harvey | Pharmacist | 4467 North Henry Boulevard, Stockbridge, GA 30281 | 2020-05-11 |
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1306407143 | Palliative Care of Georgia. LLC | Home Health | 275 Corporate Center Court Ste C, Stockbridge, GA 30281 | 2019-06-24 |
| 1154883791 | Aaliyah Nura Fardan-alexander | Nurse's Aide | 105 Singletree, Stockbridge, GA 30281 | 2019-04-02 |
| 1306306261 | Prosthetic Care, Inc. | Prosthetic/Orthotic Supplier | 150 County Club Drive, Suite 200, Stockbridge, GA 30281 | 2019-03-25 |
| 1356814172 | Kristina Louissaint | Nurse Practitioner | 650 Country Club Dr, Stockbridge, GA 30281 | 2019-01-03 |
| 1942789284 | Cameren Barnes | Physical Therapist | 5473 N Henry Blvd, Stockbridge, GA 30281 | 2018-08-08 |
| Find all providers in zip 30281 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114550571 | Cecile Maria Dunkley Layne | Counselor | 255 Corporte Drive, Stockbridge, GA 30281 | 2020-02-13 |
| 1316449572 | Shamara Moody | Counselor | 245 Country Club Dr Bldg 100d, Stockbridge, GA 30281-7216 | 2018-03-05 |
| 1770094245 | Shereka Brown | Counselor | 219 Leonard Ct, Stockbridge, GA 30281-1497 | 2017-10-23 |
| 1588174429 | Tonika D Dew Evans | Counselor | 120 Mlk Sr Heritage Trl Ste 106, Stockbridge, GA 30281-3411 | 2017-10-05 |
| 1134661010 | Taschovia Smith | Counselor | 3196 Mount Zion Rd #3902, Stockbridge, GA 30281-7849 | 2016-11-09 |
| 1275997835 | Tavara Deanna Franklin | Counselor | 1702 Hudson Bridge Rd, Stockbridge, GA 30281-6387 | 2016-04-11 |
| 1407244197 | Darryl Askew | Counselor | 358 Cotillion Dr, Stockbridge, GA 30281-1078 | 2015-01-03 |
| 1386049435 | Sandra Ivelisse Sosa | Counselor | 150 Garden Walk, Stockbridge, GA 30281-7324 | 2014-10-31 |
| 1770914194 | Tiwanna Davis | Counselor | 240 Corporate Center Dr Ste D, Stockbridge, GA 30281-7214 | 2013-12-11 |
| 1295164549 | Mindful Realization Counseling & Consulting, LLC | Counselor | 1520 Buckingham Pl, Stockbridge, GA 30281-7923 | 2013-11-07 |
| Find all providers in STOCKBRIDGE | ||||
| City | STOCKBRIDGE |
| Zip Code | 30281 |
Please comment or provide details below to improve the information on CIRCLE OF THERAPEUTIC ALLIANCE AND CONSULTING, LLC.
| 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.