BLACK SWAN ENTERPRISES (NPI# 1033556659) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1033556659 |
Entity Type | Organization |
Organization Name | BLACK SWAN ENTERPRISES |
Practice Address |
2801 Buford Hwy Ne Ste 501 Atlanta GA 30329-2149 |
Mailing Address |
1313 Oak St Sw Atlanta GA 30310-1653 |
Practice Telephone | 4048320604 |
Mailing Telephone | 6787480128 |
Enumeration Date | 2013-05-23 |
Last Update Date | 2014-06-12 |
Authorized Official Name | MS. MIKAELA NICOLE HEARD (OWNER, LEAD THERAPIST) |
Authorized Official Telephone | 4048320604 |
Authorized Official Credential | M.ED, LPC |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 251S00000X | Community/Behavioral Health | LPC007304 | GA | Agencies |
Y | 101YP2500X |
Counselor Specialization: Professional |
LPC007304 | GA | Behavioral Health & Social Service Providers |
Street Address |
2801 BUFORD HWY NE STE 501 |
City | ATLANTA |
State | GA |
Zip Code | 30329-2149 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1982662128 | Susan Katrin | Psychologist | 2801 Buford Hwy Ne, Suite 505, Atlanta, GA 30329-2149 | 2006-05-03 |
1881001030 | Karlyn Benn | Counselor | 2801 Buford Hwy Ne, Suite T-10, Atlanta, GA 30329-2149 | 2014-07-21 |
1093129561 | Brittany Boden | Social Worker | 2801 Buford Hwy Ne, Suite 470, Atlanta, GA 30329-2149 | 2014-06-12 |
1538588009 | Quest Psychological Services, LLC | Community/Behavioral Health | 2801 Buford Hwy Ne, Suite #540, Atlanta, GA 30329-2149 | 2014-04-14 |
1265862270 | S. Carolyn Acker, Md, LLC | Psychiatry & Neurology | 2801 Buford Hwy Ne, Suite 290, Atlanta, GA 30329-2149 | 2013-11-13 |
1518391622 | Elizabeth O'brien & Associates LLC | Counselor | 2801 Buford Hwy Ne, Suite 540, Atlanta, GA 30329-2149 | 2013-08-26 |
1568807790 | Paul M. Kimmell M.d. PC | Psychiatry & Neurology | 2801 Buford Hwy Ne, 260, Atlanta, GA 30329-2149 | 2013-05-01 |
1982946828 | Open Arms Counseling Center, LLC | Counselor | 2801 Buford Hwy Ne, T-10, Atlanta, GA 30329-2149 | 2013-03-19 |
1407197890 | Out Loud Counseling | Social Worker | 2801 Buford Hwy Ne, Suite T-60, Atlanta, GA 30329-2149 | 2013-03-08 |
1508107186 | Felicia Moutry | Counselor | 2801 Buford Hwy Ne, Suite T-10, Atlanta, GA 30329-2149 | 2013-03-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1871084111 | Inner Peace Counseling Services,llc | Counselor | 2801 Bufford Highway, Suite T-10, Atlanta, GA 30329 | 2018-05-22 |
1912409392 | Joie De Vivre Counseling and Therapy | Counselor | 2801 Buford Highway, Ne, Atlanta, GA 30329 | 2018-03-01 |
1902329105 | Barbara Dunbar | Psychologist | 1777 Northeast Expressway, #175, Atlanta, GA 30329 | 2017-07-19 |
1114449048 | Cricket Cheyenne Gullickson | Student in an Organized Health Care Education/Training Program | 1371 Briarvista Way Ne, Atlanta, GA 30329 | 2017-07-12 |
1902357866 | Carla Zimmerly | Nurse Practitioner | 1711 Tullie Circle, Atlanta, GA 30329 | 2016-10-17 |
1316490808 | Shahzad Ghori | Student in an Organized Health Care Education/Training Program | 1727 Druid Oaks Ne, Atlanta, GA 30329 | 2016-08-01 |
1023467768 | Ashley Elliott | Physician Assistant | 59 Executive Park, Atlanta, GA 30329 | 2016-06-03 |
1285096115 | Kimberley Fox | Internal Medicine | 1600 Clifton Rd Ne, Ms A-04, Cdc, Atlanta, GA 30329 | 2016-03-21 |
1275991648 | Mary Patricia Joyce | Internal Medicine | 1600 Clifton Road, E-47, Centers for Disease Control and Prevention, Atlanta, GA 30329 | 2016-02-01 |
1346656618 | Amelia Muniz Hernandez | Pediatrics | 1841 Clifton Rd Ne # 508, Atlanta, GA 30329 | 2014-07-08 |
Find all providers in zip 30329 |
Taxonomy Code | 101YP2500X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Professional |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1245830140 | Tiffany Alberto | Counselor | 350 Lyndale Dr Se, Atlanta, GA 30316-2692 | 2020-10-29 |
1356940712 | Shoshana Dayanim Agichtein | Counselor | 1380 Jody Ln Ne, Atlanta, GA 30329-3522 | 2020-10-18 |
1285231951 | Mecall Pearson | Counselor | 1350 Spring St Nw Ste 225, Atlanta, GA 30309-2866 | 2020-10-06 |
1447862172 | Dr. Burwell Speaks, LLC | Counselor | 3495 Buckhead Loop Ne Ste 1112, Atlanta, GA 30326-1528 | 2020-08-24 |
1386254761 | Jocelyn Patterson Mosley | Counselor | 2030 Gramercy Cir, Atlanta, GA 30341-1779 | 2020-07-31 |
1205444718 | Vanessa Lorraine Elizabeth Johnson | Counselor | 1388 Gates Cir Se, Atlanta, GA 30316-4092 | 2020-07-21 |
1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
1376161760 | Lisa J Strube | Counselor | 49 Lenox Pointe Ne Ste C, Atlanta, GA 30324-7426 | 2020-07-11 |
1881210201 | Destiny Winters | Counselor | 900 Dekalb Ave Ne Ste K, Atlanta, GA 30307-2501 | 2020-06-22 |
1912522582 | Dorian Ellis | Counselor | 5470 Lemoyne Dr Sw, Atlanta, GA 30331-9206 | 2020-06-10 |
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.