ALLEGIANCE COMMUNITY CARE, LLC (NPI# 1770927576) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770927576 |
| Entity Type | Organization |
| Organization Name | ALLEGIANCE COMMUNITY CARE, LLC |
| Other Organization Name | ACC |
| Practice Address |
1755 The Exchange Se Suite 330-m Atlanta GA 30339-7400 |
| Mailing Address |
1316 Laneridge Ct Raleigh NC 27603-8247 |
| Practice Telephone | 8883108805 |
| Mailing Telephone | 2522262001 |
| Enumeration Date | 2013-04-23 |
| Last Update Date | 2013-04-23 |
| Authorized Official Name | MICHAEL SCALES (CO-OWNER) |
| Authorized Official Telephone | 2522262001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Other Name | Type Code |
|---|---|
| ACC | Doing Business As Name - Organization |
| Street Address |
1755 THE EXCHANGE SE SUITE 330-M |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-7400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356492037 | James Edwin Stark | Psychologist | 1755 The Exchange Se, Suite 375, Atlanta, GA 30339-7400 | 2007-01-16 |
| 1407457328 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-11-06 |
| 1467068890 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-09-21 |
| 1316476658 | Gbadebo Samuel Akinlua | Durable Medical Equipment & Medical Supplies | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2017-06-09 |
| 1699218982 | Tewann Frank Tepper | Counselor | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2016-11-18 |
| 1467906016 | World Class Medical Services LLC | Ambulance | 1755 The Exchange Se, Suite 190, Atlanta, GA 30339-7400 | 2016-08-12 |
| 1811441587 | Robert Tucker | Ambulance | 1755 The Exchange Se, Suite 190, Atlanta, GA 30339-7400 | 2016-08-10 |
| 1083098065 | Cerita Willie | Specialist | 1755 The Exchange Se, Suite 330m, Atlanta, GA 30339-7400 | 2015-07-20 |
| 1255726568 | Expert In Mind | Behavioral Analyst | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2015-04-02 |
| 1871833434 | Demario Phillips | Counselor | 1755 The Exchange Se, Suite 138, Atlanta, GA 30339-7400 | 2013-02-19 |
| Find all providers in the same location | ||||
| 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 | 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.