CHOICES BEHAVIORAL ALTERNATIVES (NPI# 1891143244) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891143244 |
| Entity Type | Organization |
| Organization Name | CHOICES BEHAVIORAL ALTERNATIVES |
| Practice Address |
4037 Darling Court Suite B Lilburn GA 30047 |
| Mailing Address |
1495 Watercove Ln Lawrenceville GA 30043-7041 |
| Practice Telephone | 7706812303 |
| Mailing Telephone | 7706812303 |
| Enumeration Date | 2016-05-26 |
| Last Update Date | 2016-05-26 |
| Authorized Official Name | MR. LARRY R WYATT (OWNER) |
| Authorized Official Telephone | 7706812303 |
| Authorized Official Credential | LPC,NCC,CSOTS,CA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101Y00000X | Counselor | GA | Behavioral Health & Social Service Providers |
| Street Address |
4037 DARLING COURT SUITE B |
| City | LILBURN |
| State | GA |
| Zip Code | 30047 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| 1851729883 | Avala Dental Providers,llc | Point of Service | 629 A Beaver Ruin Rd, Lilburn, GA 30047 | 2013-10-30 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 101Y00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master’s degree and clinical experience and supervision for licensure or certification. |
| Notes: Sources: Abridged from definitions provided by the National Board of Certified Counselors and the American Association of Pastoral Counselors. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316560659 | O'keith Wallace | Counselor | 4830 Lawrenceville Hwy Nw Ste 2b, Lilburn, GA 30047-3812 | 2020-05-21 |
| 1114401759 | Asha S Dickerson | Counselor | 10 Cross Creek Dr, Lilburn, GA 30047-7054 | 2018-09-19 |
| 1073000501 | Judi Michelle Winbush | Counselor | 1373 Crooked Tree Ct Sw, Lilburn, GA 30047-2433 | 2018-04-19 |
| 1831647163 | Christina Alston | Counselor | 504 Indian Trl Rd Nw Ste 200b, Lilburn, GA 30047-6848 | 2016-09-15 |
| 1083819395 | Melodie Anne (or Desanto) Head | Counselor | 733 Village Creek Dr Sw, Lilburn, GA 30047-4160 | 2007-06-18 |
| 1982216503 | Grace Medical Entreprises | Counselor | 711 Stoneview Trl Nw, Lilburn, GA 30047-7125 | 2020-08-17 |
| 1073023164 | Nicole Fuentes | Counselor | 5440 Lawrenceville Hwy Nw, Lilburn, GA 30047-5927 | 2017-10-03 |
| 1003230046 | Ameleo D Manuel | Counselor | 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047 | 2014-02-11 |
| 1518109461 | Center for Counseling, Rehabilitation, and Personal Evaluation | Counselor | 331 Arcado Rd Nw, Suite B, Lilburn, GA 30047-2814 | 2009-03-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144829102 | Estefania Salinas | Counselor | 1565 Benton Blvd Apt 412, Savannah, GA 31407-0408 | 2020-10-21 |
| 1225636392 | Courtney Hampton | Counselor | 1800 Wesleyan Dr Apt 95, Macon, GA 31210-1075 | 2020-10-12 |
| 1063010247 | Jeffrey Heath Williamson | Counselor | 3350 Lansbury Village Dr Apt 2, Atlanta, GA 30341-5749 | 2020-10-11 |
| 1548868730 | Dynamic Change | Counselor | 2255 Cumberland Pkwy Se Ste 240, Atlanta, GA 30339-4515 | 2020-10-11 |
| 1871191023 | Nichole Harden-gresham | Counselor | 3837 Bay Orchard Ln, Loganville, GA 30052-6611 | 2020-10-10 |
| 1497362917 | Valerie Larkin | Counselor | 139 W Ellis Rd Ste A, Griffin, GA 30223-7149 | 2020-09-29 |
| 1700493798 | Nathaniel Johnson | Counselor | 612 Beretta Dr, Grovetown, GA 30813-2198 | 2020-09-24 |
| 1346857463 | Jefferson Counseling, LLC | Counselor | 20 Lee St Ste 5, Jefferson, GA 30549-6327 | 2020-09-24 |
| 1376158360 | Two Rivers Counseling and Psychological Services, LLC | Counselor | 72 Bonnie Reed Psge, Midway, GA 31320-4925 | 2020-09-15 |
| 1861007064 | Tara Tanksley Stallings | Counselor | 1734 Jenkins St, Augusta, GA 30904-3736 | 2020-09-14 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on CHOICES BEHAVIORAL ALTERNATIVES.
| 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.