TCWC LAWRENCEVILLE LLC (NPI# 1205212917) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205212917 |
| Entity Type | Organization |
| Organization Name | TCWC LAWRENCEVILLE LLC |
| Practice Address |
3157 Sugarloaf Pkwy Ste 130 Lawrenceville GA 30045-9492 |
| Practice Telephone | 6788284114 |
| Practice Fax Number | 4048554184 |
| Mailing Telephone | 6788284114 |
| Enumeration Date | 2015-08-04 |
| Last Update Date | 2016-06-16 |
| Authorized Official Name | AMBER BLUE (CONTRACTING MANAGER) |
| Authorized Official Telephone | 6369780970 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | CHIR009505 | GA | Ambulatory Health Care Facilities |
| Street Address |
3157 SUGARLOAF PKWY STE 130 |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-9492 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225577000 | Priority Housecalls LLC | Clinic/Center | 225 Scenic Hwy, Ste 200, Lawrenceville, GA 30046 | 2017-02-14 |
| 1376928861 | Starting Point Wellness, LLC | Clinic/Center | 965 Oakland Rd Ste E, Lawrenceville, GA 30044-3758 | 2015-07-25 |
| 1356692404 | Kl Medical Clinic, LLC. | Clinic/Center | 905 Parkside Walk Ln Ste 100a, Lawrenceville, GA 30043-7314 | 2012-09-28 |
| 1740530195 | Prohealth Spinal and Rehab Center | Clinic/Center | 1860 Atkinson Rd Ste 116, Lawrenceville, GA 30043-5066 | 2012-09-13 |
| 1366714040 | Human Wellness | Clinic/Center | 892 Cooper Way, Lawrenceville, GA 30046-6101 | 2012-01-27 |
| 1780876375 | American Current Care Pa | Clinic/Center | 755 Lawrenceville Suwanee Road, Suite 1600, Lawrenceville, GA 30043 | 2007-08-16 |
| 1407419302 | Applied Behavioral Connections Inc | Clinic/Center | 1755 N Brown Rd Ste 200, Lawrenceville, GA 30043-8196 | 2019-04-16 |
| 1174041354 | Pediatric Therapy Solutions, LLC | Clinic/Center | 3131 Princeton Pike Ste 100, Lawrenceville, NJ 08648-2201 | 2017-09-07 |
| 1518262203 | Arc Mercer, Inc. | Clinic/Center | 3131 Princeton Pike Ste 109, Lawrenceville, NJ 08648-2201 | 2011-01-11 |
| 1679875173 | Abundant Life Healthcare | Clinic/Center | 601 Professional Dr Ste 370, Lawrenceville, GA 30046-7670 | 2010-12-03 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on TCWC LAWRENCEVILLE LLC.
| 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.