PERSONAL RECOVERY NETWORK LLC (NPI# 1831558931) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1831558931 |
| Entity Type | Organization |
| Organization Name | PERSONAL RECOVERY NETWORK LLC |
| Other Organization Name | GEORGIA BEHAVIORAL HEALTH PROFESSIONALS |
| Practice Address |
1640 Powers Ferry Rd Se Bldg 9 Suite 330 Marietta GA 30067-5491 |
| Practice Telephone | 6788310608 |
| Practice Fax Number | 6788310564 |
| Mailing Telephone | 6788310608 |
| Mailing Fax Number | 6788310564 |
| Enumeration Date | 2016-02-17 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | MRS. ASHLEY NICHOLS TAGTACHIAN (ADMINISTRATOR) |
| Authorized Official Telephone | 7705482589 |
| Is Organization Subpart | Y |
| Parent Organization Name | PERSONAL RECOVERY NETWORK LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Georgia Behavioral Health Professionals | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700246550 | Personal Recovery Network LLC | Counselor | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-03-07 |
| 1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
| 1700245891 | Personal Recovery Network LLC | Counselor | 250 Corporate Center Ct, Stockbridge, GA 30281-6388 | 2016-02-17 |
| 1598124695 | Personal Recovery Network LLC | Counselor | 5965 Parkway North Blvd, Suite C, Cumming, GA 30040-1430 | 2016-02-17 |
| 1912366014 | Personal Recovery Network LLC | Counselor | 6385 Mcginnis Ferry Rd, Suite 202, Johns Creek, GA 30005-3621 | 2016-02-17 |
| 1699132951 | Personal Recovery Network LLC | Psychiatry & Neurology | 5775 Peachtree Dunwoody Rd, C200, Atlanta, GA 30342-1556 | 2016-01-18 |
| 1023356458 | Personal Recovery Network LLC | Counselor | 1640 Powers Ferry Rd Se, Building 9, Suite 100, Marietta, GA 30067-5491 | 2013-01-18 |
| 1881990869 | Personal Recovery Network LLC | Counselor | 250 Corporate Center Ct, Stockbridge, GA 30281 | 2011-02-08 |
| Street Address |
1640 POWERS FERRY RD SE BLDG 9 SUITE 330 |
| City | MARIETTA |
| State | GA |
| Zip Code | 30067-5491 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205887437 | The Anxiety & Stress Management Institute | Counselor | 1640 Powers Ferry Rd Se, Building 9, Suite 100, Marietta, GA 30067-5491 | 2006-05-12 |
| 1235740622 | Taivia Nicosi Thompson | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2020-08-11 |
| 1356965271 | Julie Stofko | Licensed Practical Nurse | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2020-06-05 |
| 1265068068 | Tori Jade Emerick | Counselor | 1640 Powers Ferry Rd Se, Building 5, Suite 110, Marietta, GA 30067 | 2020-03-12 |
| 1730713645 | Vera Melinda Shook | Licensed Practical Nurse | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2020-02-29 |
| 1720622418 | William Joseph Colombo | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2019-11-05 |
| 1184277923 | Irvin Harley Kooris | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2019-07-22 |
| 1194299933 | Jennifer Carlson | Counselor | 1640 Powers Ferry Rd Se, Building 2 Ste 150, Marietta, GA 30067 | 2019-01-15 |
| 1467939405 | Martha Williamson Munford | Counselor | 1640 Powers Ferry Rd Se, Marietta, GA 30067-5491 | 2018-07-23 |
| 1235639535 | Korinne Liana Edwards | Registered Nurse | 1640 Powers Ferry Rd Se, Building 9, Ste 330, Marietta, GA 30067 | 2018-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689140022 | Sherry Wilson King | Marriage & Family Therapist | 1640 Powers Ferry Rd Blg 7, Ste 300, Marietta, GA 30067 | 2018-10-23 |
| 1053886861 | Precious Angel Home Care Services Inc | Adult Companion | 2470 Windy Hill Road, Marietta, Suite 253, Marietta, GA 30067 | 2018-10-08 |
| 1194206466 | Joshua P Moree | Chiropractor | 860 Franklin Gtwy Se Apt 111, Marietta, GA 30067 | 2018-08-24 |
| 1841778081 | Sun Pediatrics LLC | Pediatrics | 2520 Windy Hill Rd Se Ste 104, Marietta, GA 30067 | 2018-07-31 |
| 1508358714 | Mbs Wellness Group, LLC | Durable Medical Equipment & Medical Supplies | 62 Shawnee Trail Se, Marietta, GA 30067 | 2018-06-04 |
| 1497254213 | Allison M Jancik | Chiropractor | 1355 Terrell Mill Road Se, Bldg 1474, Ste 150, Marietta, GA 30067 | 2018-02-07 |
| 1801304969 | Danielle Ann Dietrich | Chiropractor | 805 Winterset Pkwy Se, Marietta, GA 30067 | 2018-01-11 |
| 1740794866 | Jessica Lofgren | Chiropractor | 1130 Northchase Pkwy Se Ste 125, Marietta, GA 30067 | 2017-11-28 |
| 1871026393 | Rhonda Dawes Milner | Counselor | 1640 Powers Ferry Rd Bldg 16, Suite 100, Marietta, GA 30067 | 2017-04-11 |
| 1457894537 | Carcelia Delk | Counselor | 1110 Augusta Dr Se, Marietta, GA 30067 | 2016-11-22 |
| Find all providers in zip 30067 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598250342 | Avant Behavioral Consultants Inc | Psychiatry & Neurology | 2225 Heathermoor Hill Dr, Marietta, GA 30062-6502 | 2018-06-25 |
| 1427455617 | Charles Earl Levy | Psychiatry & Neurology | 5300 Willow Point Pkwy, Marietta, GA 30068-1829 | 2014-12-03 |
| 1356679161 | Svathi Reddy Md, L.L.C. | Psychiatry & Neurology | 1640 Powers Ferry Rd Bldg 17, Suite 100, Marietta, GA 30067-5491 | 2009-12-07 |
| 1902031438 | Center for Attention & Psychiatry, LLC | Psychiatry & Neurology | 840 Kennesaw Ave., Suite 8, Marietta, GA 30060 | 2009-05-28 |
| 1356581144 | Valdesha Lechante' Dejean | Psychiatry & Neurology | 1640 Powers Ferry Rd Se Ste 200, Marietta, GA 30067-5491 | 2009-03-06 |
| 1184897779 | Lewis Harry Lipsius | Psychiatry & Neurology | 1236 Ashley Lake Dr Ne, Marietta, GA 30062-2937 | 2008-04-04 |
| 1396874889 | Mark Daniel Gronsbell | Psychiatry & Neurology | 3876 Clubland Dr, Marietta, GA 30068-4008 | 2007-03-02 |
| 1699838045 | Crit Reon Cooksey | Psychiatry & Neurology | 3827 Roswell Road, Suite 100b, Marietta, GA 30062-6262 | 2006-12-18 |
| 1881771004 | Michael David Banov | Psychiatry & Neurology | 108 Margaret Ave, Marietta, GA 30060 | 2006-11-01 |
| 1912082181 | Sandra Ann Diehl | Psychiatry & Neurology | 709 Canton Rd Ne Ste 200, Marietta, GA 30060-7258 | 2006-10-26 |
| Find all providers in MARIETTA | ||||
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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.