A SOUND MIND REHABILITATION INSTITUTION INC. (NPI# 1790393866) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1790393866 |
| Entity Type | Organization |
| Organization Name | A SOUND MIND REHABILITATION INSTITUTION INC. |
| Practice Address |
5574 Grammercy Dr Sw Atlanta GA 30349-1291 |
| Practice Telephone | 4046413546 |
| Mailing Telephone | 4046413546 |
| Enumeration Date | 2020-07-15 |
| Last Update Date | 2020-07-15 |
| Authorized Official Name | MR. EDDIE ROY DAVIS (FOUNDER/CHIEF ADMINISTRATOR OFFICER) |
| Authorized Official Telephone | 4046413546 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
5574 GRAMMERCY DR SW |
| City | ATLANTA |
| State | GA |
| Zip Code | 30349-1291 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639298789 | Janis S Davis | Physical Therapist | 5574 Grammercy Dr Sw, Atlanta, GA 30349-1291 | 2007-03-28 |
| 1407017924 | Working It Right Rehab, Inc. | Physical Therapist | 5574 Grammercy Dr Sw, Atlanta, GA 30349-1291 | 2008-06-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376185686 | Kmb Diagnostics | Durable Medical Equipment & Medical Supplies | 941 Flat Shoals Rd, Atlanta, GA 30349 | 2019-10-09 |
| 1114575859 | Justin Vassell | Registered Nurse | 1903 Phoenix Boulevard, Suite 200, College Park, GA 30349 | 2019-08-27 |
| 1841856663 | Kennyetta Danielle Watkins | Counselor | 1431 Riverwalk Ln, Apt. F, College Park, GA 30349 | 2019-05-16 |
| 1275002636 | Patriot Healthcare of Georgia, LLC | Family Medicine | 1587 Phoenix Boulevard, Suite 6, College Park, GA 30349 | 2018-11-15 |
| 1669971875 | Ee Consulting Solution | Case Management | 6320 Topaz Tral, Arlanta, GA 30349 | 2018-02-03 |
| 1629595640 | Shayla Bouie | Contractor | 5420 Riverdale Rd Apt D17, Atlanta, GA 30349 | 2017-08-30 |
| 1114475563 | Jasmine V Mccully | Social Worker | 5864 Summergien Lane, College Park, GA 30349 | 2016-09-14 |
| 1639537681 | Shelia Thornton | Counselor | 5856 Seabright Lane, Atlanta, GA 30349 | 2016-02-05 |
| 1346610177 | Joanne Resilard | Nurse Practitioner | 2931 Herron Ln Sw, Atlanta, GA 30349 | 2015-10-06 |
| 1063805091 | Southwest Atlanta Medical & Rehabilitation Clinic LLC | Family Medicine | 495 85 Circle, Suite 100, Atlanta, GA 30349 | 2015-03-16 |
| Find all providers in zip 30349 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114536372 | The Mindful Match, LLC | Clinic/Center | 528b Angier Ave Ne, Atlanta, GA 30308-2902 | 2020-07-23 |
| 1427666817 | Atlanta Child and Family Therapy, LLC | Clinic/Center | 2144 Kodiak Dr Ne, Atlanta, GA 30345-4150 | 2020-07-21 |
| 1790271633 | Jill Elizabeth Gresham | Clinic/Center | 750 Hammond Dr Ste 100, Atlanta, GA 30328-5532 | 2018-07-03 |
| 1790204204 | Case Support Services | Clinic/Center | 4272 Sublime Trl, Atlanta, GA 30349-8883 | 2017-09-15 |
| 1922531938 | Scott Psychological Services, LLC | Clinic/Center | 5 Concourse Pkwy, Atlanta, GA 30328-5350 | 2017-04-06 |
| 1760710271 | Tk Consulting, Inc. | Clinic/Center | 3781 Presidential Pkwy Ste 111d, Atlanta, GA 30340-3773 | 2009-11-20 |
| 1215561139 | Healing and Renewal Wellness | Clinic/Center | 464 Cherokee Ave Se Ste 202, Atlanta, GA 30312-3260 | 2020-02-29 |
| 1588204374 | Berribizi LLC | Clinic/Center | 41 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7424 | 2020-01-09 |
| 1083001796 | T2s Enterprises, LLC | Clinic/Center | 2001 Martin Luther King Jr Dr Sw, Suite 540, Atlanta, GA 30310-1101 | 2015-04-20 |
| 1730426198 | Magnolia Behavioral Health, Inc. | Clinic/Center | 3350 Northlake Pkwy Ne, Atlanta, GA 30345-2204 | 2013-01-04 |
| 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.