TRANSFORMATIONS THERAPY OF ATLANTA, LLC (NPI# 1215447081) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215447081 |
| Entity Type | Organization |
| Organization Name | TRANSFORMATIONS THERAPY OF ATLANTA, LLC |
| Practice Address |
4566 Lawrenceville Hwy Nw Ste 101 Lilburn GA 30047-3686 |
| Practice Telephone | 7702177563 |
| Mailing Telephone | 7702177563 |
| Enumeration Date | 2017-10-06 |
| Last Update Date | 2017-10-06 |
| Authorized Official Name | TIA THOMAS (OWNER) |
| Authorized Official Telephone | 7702177563 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YP2500X |
Counselor Specialization: Professional |
CSW004791 | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639693047 | Transformations Therapy of Atlanta, LLC | Counselor | 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047-3686 | 2017-07-27 |
| Street Address |
4566 LAWRENCEVILLE HWY NW STE 101 |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-3686 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508145038 | Laurice L. Jordan | Counselor | 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047-3686 | 2011-08-15 |
| 1639693047 | Transformations Therapy of Atlanta, LLC | Counselor | 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047-3686 | 2017-07-27 |
| 1003230046 | Ameleo D Manuel | Counselor | 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047 | 2014-02-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679068324 | Larry Wyatt | Counselor | 4037 Darling Ct Sw Ste B, Lilburn, GA 30047-2365 | 2018-06-26 |
| 1457706111 | Adejumoke Duduyemi | Counselor | 912 Killian Hill Rd Sw Ste 202-b, Lilburn, GA 30047-3110 | 2016-05-02 |
| 1952767428 | Leah Maloof | Counselor | 4311 Weston Dr Sw, Lilburn, GA 30047-3168 | 2016-01-13 |
| 1306240577 | Sarah Ansari | Counselor | 690 Walnut Creek Dr Nw, Lilburn, GA 30047-6088 | 2014-10-17 |
| 1083954192 | Lisa Monette Tait | Counselor | 5238 Ashley Dr Sw, Lilburn, GA 30047-6639 | 2013-02-26 |
| 1669752390 | Tonya L Brailey | Counselor | 488 Berckman Dr Nw, Lilburn, GA 30047-4916 | 2011-08-25 |
| 1508145038 | Laurice L. Jordan | Counselor | 4566 Lawrenceville Hwy Nw Ste 101, Lilburn, GA 30047-3686 | 2011-08-15 |
| 1831404011 | Lakeah White | Counselor | 912 Killian Hill Road, Suite 202-c, Lilburn, GA 30047 | 2010-08-12 |
| 1982844700 | Ellen Strugatch | Counselor | 3830 Hunting Ridge Dr Sw, Lilburn, GA 30047-2512 | 2009-03-06 |
| 1619933645 | Jamie Gynette Cross-lee | Counselor | 5400 Lawrenceville Hwy Nw Ste E3, Lilburn, GA 30047 | 2006-04-26 |
| Find all providers in LILBURN | ||||
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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.