THRIVEWORKS WOODSTOCK (NPI# 1053929786) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053929786 |
| Entity Type | Organization |
| Organization Name | THRIVEWORKS WOODSTOCK |
| Practice Address |
700 Churchill Ct Ste 110 Woodstock GA 30188-6880 |
| Mailing Address |
225 Logans Mill Trl Warner Robins GA 31093-8964 |
| Practice Telephone | 7702849092 |
| Mailing Telephone | 4787143123 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | MRS. IVANDA MELINDA POSTELL (CLINICIAN) |
| Authorized Official Telephone | 7702849092 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities | ||
| N | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
700 CHURCHILL CT STE 110 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-6880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457901340 | Esfahani Enterprises LLC | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2019-09-12 |
| 1760092019 | Michelle Wrayanne Glaze Parker | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2020-08-02 |
| 1295357028 | Deshawn Renarda Artis | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2020-05-14 |
| 1205479490 | Jacqueline Alexandra Lilly | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437987 | Mimi Mcdonald LLC | Clinic/Center | 408 Creekstone Rdg, Woodstock, GA 30188-3740 | 2020-08-13 |
| 1962976696 | First Baptist Church of Woodstock, Inc | Clinic/Center | 3380 Trickum Rd, Bldg 700, Suite 100, Woodstock, GA 30188 | 2019-01-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491172 | Life Compass Mental Health Services, LLC | Clinic/Center | 300 Colnl Ctr Pkwy Ste 100n, Roswell, GA 30076-4892 | 2020-09-12 |
| 1396353884 | Atlanta Mental Wellness LLC | Clinic/Center | 1535 Mount Vernon Rd Ste B, Dunwoody, GA 30338-4149 | 2020-07-21 |
| 1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
| 1841808060 | By Grace Counseling LLC | Clinic/Center | 100 Hemingway Ln, Roswell, GA 30075-7024 | 2020-07-14 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1164055455 | New Perspectives Psychotherapy LLC | Clinic/Center | 10 N Clarendon Ave Ste B, Avondale Estates, GA 30002-1165 | 2020-02-15 |
| 1982234423 | All About You Counseling, LLC | Clinic/Center | 150 Prospect Pl, Alpharetta, GA 30005-5445 | 2020-01-23 |
| 1295372225 | Mental Space LLC | Clinic/Center | 4210 Columbia Rd Unit D, Martinez, GA 30907-0401 | 2019-12-10 |
| 1225679921 | Jacqueline Pickett Parrish | Clinic/Center | 3511 Willow Tree Trce, Decatur, GA 30034-3842 | 2019-10-03 |
| 1265082341 | Serene Concepts PC | Clinic/Center | 500 Lanier Ave W Ste 801g, Fayetteville, GA 30214-7642 | 2019-09-19 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on THRIVEWORKS WOODSTOCK.
| 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.