NEW LEGACY COUNSELING AND TRAINING CENTER (NPI# 1992248298) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1992248298 |
Entity Type | Organization |
Organization Name | NEW LEGACY COUNSELING AND TRAINING CENTER |
Practice Address |
3350 Riverwood Parkway Suite 1925 Atlanta GA 30339 |
Practice Telephone | 7709845341 |
Practice Fax Number | 4045494310 |
Mailing Telephone | 7709845341 |
Mailing Fax Number | 4045494310 |
Enumeration Date | 2016-11-18 |
Last Update Date | 2016-11-18 |
Authorized Official Name | MR. TY WATSON SR. (EXECUTIVE DIRECTOR) |
Authorized Official Telephone | 4048892300 |
Authorized Official Credential | LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 305S00000X | Point of Service | 005753 | GA | Managed Care Organizations |
Street Address |
3350 RIVERWOOD PARKWAY SUITE 1925 |
City | ATLANTA |
State | GA |
Zip Code | 30339 |
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 |
1255873295 | Ori Alaafi Coaching & Psychotherapy LLC | Psychologist | 1995 North Park Place, Suite 310f, Atlanta, GA 30339 | 2016-11-08 |
Find all providers in zip 30339 |
Taxonomy Code | 305S00000X |
Grouping | Managed Care Organizations |
Classification | Point of Service |
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost. |
Notes: Source: "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 62 |
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1073944997 | Cosmetic Family & Implant Dentistry of Atlanta | Point of Service | 3350 Riverwood Pkwy Se, Suite 2120, Atlanta, GA 30339-6401 | 2013-12-03 |
1144660283 | Anita S. Gordon | Point of Service | 2814 Buford Hwy Ne, Atlanta, GA 30329-2103 | 2013-07-03 |
1902167935 | Divinity Internal Medicine & Associates Inc. | Point of Service | 494 Boulevard Se, Atlanta, GA 30312-3426 | 2012-06-06 |
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.