LGD PSYCHOLOGICAL SERVICES (NPI# 1881924892) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881924892 |
| Entity Type | Organization |
| Organization Name | LGD PSYCHOLOGICAL SERVICES |
| Practice Address |
5438 Redwood Ct Stone Mountain GA 30087-5758 |
| Practice Telephone | 7704696794 |
| Practice Fax Number | 7704696794 |
| Mailing Telephone | 7704696794 |
| Mailing Fax Number | 7704696794 |
| Enumeration Date | 2010-01-14 |
| Last Update Date | 2010-01-14 |
| Authorized Official Name | MS. LINDA GAIL DENNARD (PRESIDENT) |
| Authorized Official Telephone | 7704696794 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 311ZA0620X |
Custodial Care Facility Specialization: Adult Care Home |
CSW002671 | GA | Nursing & Custodial Care Facilities |
| Street Address |
5438 REDWOOD CT |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-5758 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932240389 | Linda G Dennard | Social Worker | 5438 Redwood Ct, Stone Mountain, GA 30087-5758 | 2007-02-09 |
| 1336304799 | L G D Psychological Services, LLC | Custodial Care Facility | 5438 Redwood Ct, Stone Mountain, GA 30087-5758 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 311ZA0620X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Custodial Care Facility |
| Specialization | Adult Care Home |
| A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356984041 | Manuel Carl Mckenzie IIi | Custodial Care Facility | 4893 Candlewood Ln, Stone Mountain, GA 30088-1605 | 2019-10-24 |
| 1841624095 | Peaceful Love & Care | Custodial Care Facility | 815 Pine Roc Dr, Stone Mountain, GA 30083-3521 | 2013-08-23 |
| 1073859666 | Whitney's Place Inc. | Custodial Care Facility | 5451 Rockbeidge Road, Stone Mountain, GA 30088 | 2012-12-31 |
| 1609010651 | Affordable Property Management Inc | Custodial Care Facility | 724 Trigg Lake Ct, Stone Mountain, GA 30087-6529 | 2009-04-21 |
| 1083880629 | Serenity Personal Care Residence | Custodial Care Facility | 2327 Young Rd, Stone Mountain, GA 30088-4111 | 2008-05-04 |
| 1588859359 | Betty Family Advocate Group | Custodial Care Facility | 6505 Battery Pt, Stone Mountain, GA 30087-4646 | 2007-09-13 |
| 1336304799 | L G D Psychological Services, LLC | Custodial Care Facility | 5438 Redwood Ct, Stone Mountain, GA 30087-5758 | 2008-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679174437 | United Hands Support Services | Custodial Care Facility | 735 Ridge Rd, Canton, GA 30114-4170 | 2020-11-06 |
| 1679174429 | Golden Peak Senior Living Corp | Custodial Care Facility | 411 Edmond St, Calhoun, GA 30701-5334 | 2020-11-06 |
| 1023615531 | Lillian Womble | Custodial Care Facility | 3232 Union Church Road, Warthen, GA 31094 | 2020-10-07 |
| 1750995155 | Jacqueline Dingle | Custodial Care Facility | 604 Sugarbush Cir, Savannah, GA 31406-4434 | 2020-09-02 |
| 1114549763 | Idella's Angels | Custodial Care Facility | 270 13th Ave Sw, Cairo, GA 39828-3423 | 2020-05-16 |
| 1356962062 | Brendas Love Personal Care Home LLC | Custodial Care Facility | 8239 Queens Dr, Jonesboro, GA 30238-2946 | 2020-05-04 |
| 1801421094 | Lj's Personal Care Home, LLC | Custodial Care Facility | 415 E 18th St Sw, Rome, GA 30161-6544 | 2020-03-08 |
| 1457904310 | Renaissance Healthcare LLC | Custodial Care Facility | 419 Airport Rd, Griffin, GA 30224-4834 | 2019-07-19 |
| 1225697873 | Tahirah Johnston | Custodial Care Facility | 1657 Hallmark Hills Dr, Griffin, GA 30223-8790 | 2019-06-07 |
| 1508420613 | Rosa Amanda Hill | Custodial Care Facility | 1073 Davis Rd, Culloden, GA 31016-5843 | 2019-04-24 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
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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.