FAMILY ART THERAPY CENTER (NPI# 1154464006) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154464006 |
| Entity Type | Organization |
| Organization Name | FAMILY ART THERAPY CENTER |
| Practice Address |
44 Cottonwood St. Clayton GA 30525 |
| Practice Telephone | 7067820717 |
| Practice Fax Number | 7067825266 |
| Mailing Telephone | 7067820717 |
| Mailing Fax Number | 7067825266 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CARMEN ROSE REDD (OFFICE MANAGER) |
| Authorized Official Telephone | 7067820717 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC4008 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | AMERIGROUP | 10045587 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609916147 | Family Art Therapy Center | Counselor | 44 Cottonwood Street, Clayton, GA 30525 | 2007-02-07 |
| Street Address |
44 COTTONWOOD ST. |
| City | CLAYTON |
| State | GA |
| Zip Code | 30525 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932365343 | Kimberli Dawn Patrick | Counselor | 44 Cottonwood St., Clayton, GA 30525 | 2008-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528605839 | Charlotte Hart Fandrich | Massage Therapist | 1048 Old Highway 441 North, Clayton, GA 30525 | 2019-12-05 |
| 1922577147 | Suzanne A Frederickson | Speech-Language Pathologist | Highlands Internal Medicine, PC, 156 North Main St, Clayton, GA 30525 | 2018-11-16 |
| 1427562750 | Second Nature Blue Ridge, LLC | Psychiatric Residential Treatment Facility | 236 File St., Clayton, GA 30525 | 2017-11-22 |
| 1053854752 | Haley Vaughan Stapleton | Nurse Practitioner | 596 Mountain City Road, Clayton, GA 30525 | 2016-11-29 |
| 1154870533 | Life Point Medical, LLC | Clinic/Center | 189 Bo James Street, Suite 105, Clayton, GA 30525 | 2016-09-27 |
| 1316239122 | Jason A Bonner | Pharmacist | 1455 U.S. 441, Clayton, GA 30525 | 2011-05-11 |
| 1477842557 | Clayton Therapy Center, LLC | Marriage & Family Therapist | 24 Chechero St, Suite 2, Clayton, GA 30525 | 2011-03-29 |
| 1891959672 | Adams Hearing Aid Specialists | Hearing Instrument Specialist | 91 E Savannah Place, Clayton, GA 30525 | 2008-07-11 |
| 1578721494 | Lawrence M Gillespie | Dentist | 436 Warwoman Road, Clayton, GA 30525 | 2008-05-28 |
| 1336262112 | Clayton Family Eye Care PC | Optometrist | 50 Earl St., Suite A, Clayton, GA 30525 | 2007-04-09 |
| Find all providers in zip 30525 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700340163 | Cbs | Community/Behavioral Health | 11 Mt Lee Pl, Clayton, CA 94517-1538 | 2019-01-29 |
| 1336642107 | One Heart Therapy Pllc | Community/Behavioral Health | 505 E Main St Ste 204, Clayton, NC 27520-2621 | 2018-03-17 |
| 1689112567 | Aci Support Specialists | Community/Behavioral Health | 59 Shad Boat Ln, Clayton, NC 27520-7379 | 2017-02-10 |
| 1306222344 | Jak Counseling Services | Community/Behavioral Health | 107 Home Trace Cir, Clayton, NC 27520-7848 | 2015-07-31 |
| 1992138457 | Q1 Clinical Consultants,llc | Community/Behavioral Health | 1065 Lee Rd, Clayton, NC 27520-7086 | 2013-08-19 |
| 1225476369 | Alpha Management Services, Inc. | Community/Behavioral Health | 43 Valleyfield Dr, Clayton, NC 27527-4238 | 2013-06-11 |
| 1396004602 | The Enhancement Center, Inc. | Community/Behavioral Health | 896 Gulley Dr, Clayton, NC 27520-2189 | 2012-05-07 |
| 1659653053 | Cb Recovery Associates, LLC | Community/Behavioral Health | 21 Anna Dr., Suites 105 & 106, Clayton, NC 27520 | 2011-09-13 |
| 1811220106 | Developing Solutions, LLC | Community/Behavioral Health | 160 Powhatan Rd, Clayton, NC 27527-6090 | 2009-09-17 |
| 1790918167 | Robinson Counseling Resources | Community/Behavioral Health | 340 Smith St, Suite 2, Clayton, GA 30525-4261 | 2009-09-01 |
| Find all providers in CLAYTON | ||||
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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.