WBC GEORGIA LLC (NPI# 1235674375) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235674375 |
| Entity Type | Organization |
| Organization Name | WBC GEORGIA LLC |
| Practice Address |
4536 Barclay Dr Atlanta GA 30338-7145 |
| Mailing Address |
51 Sawyer Rd Waltham MA 02453-3448 |
| Practice Telephone | 7704588711 |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2019-05-30 |
| Authorized Official Name | DR. STUART KOMAN (CEO/PRESIDENT) |
| Authorized Official Telephone | 7816476767 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | Behavioral Health & Social Service Providers | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| N | 323P00000X | Psychiatric Residential Treatment Facility | Residential Treatment Facilities | ||
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
4536 BARCLAY DR |
| City | ATLANTA |
| State | GA |
| Zip Code | 30338-7145 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356425680 | Anne L Moore | Psychologist | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-5802 | 2006-10-24 |
| 1578075966 | Elizabeth Meade Fields | Counselor | 4536 Barclay Dr, Atlanta, GA 30338-7145 | 2017-10-25 |
| 1639617277 | Patricia Scruggs | Counselor | 4536 Barclay Dr, Atlanta, GA 30338-7145 | 2017-02-02 |
| 1346610789 | Unlimited Spectrum, LLC | Clinic/Center | 4536 Barclay Dr, Atlanta, GA 30338-7145 | 2015-09-28 |
| 1033462775 | Megan W Broadhead | Counselor | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-7145 | 2012-10-18 |
| 1205113396 | Beth Zeigler | Counselor | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-7145 | 2011-11-03 |
| 1306125380 | Ryan R Schwerzmann | Marriage & Family Therapist | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-7145 | 2011-08-09 |
| 1003195900 | Eileen Brody Shaw | Counselor | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-7145 | 2011-08-09 |
| 1376841296 | Pegah Moghaddam | Psychologist | 4536 Barclay Dr, Suite A, Atlanta, GA 30338-7145 | 2011-03-01 |
| 1730359787 | Rachel Rose | Psychologist | 4536 Barclay Dr, Atlanta, GA 30338-7145 | 2008-03-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629606264 | Jasmine Donesha Shackelford | Student in an Organized Health Care Education/Training Program | Emory Family Medicine, 4500 North Shallowford Road, Atlanta, GA 30338 | 2020-03-30 |
| 1558907774 | Brianna Harding | Pharmacist | 4608 Devonshire Road, Dunwoody, GA 30338 | 2019-11-22 |
| 1194382135 | Kadan Corporation | In Home Supportive Care | 1848 Independence Square, Suite A, Dunwoody, GA 30338 | 2019-05-24 |
| 1144789553 | Carla Fabiola Nunez | Dentist | 5200 Roberts Dr, Atlanta, GA 30338 | 2019-03-15 |
| 1861978793 | Uhs of Peachford Lp | Pharmacy | 2150 Peachford Rd Ste D, Atlanta, GA 30338 | 2018-07-13 |
| 1275047474 | Mary Rose Ziemba | Physical Therapist | 4516 Chamblee Dunwoody Rd # 22, Dunwoody, GA 30338 | 2017-11-27 |
| 1992223531 | Joel Moorhead | Physical Medicine & Rehabilitation | 1521 Eidson Hall Drive, Dunwoody, GA 30338 | 2017-09-05 |
| 1336667997 | Absolute Holistic Medicine | Clinic/Center | 1868 Independence Sq, Suite A, Atlanta, GA 30338 | 2017-09-05 |
| 1164947115 | Modern Dermatology Atlanta | Dermatology | 5696 Whitehall Walk, Dunwoody, GA 30338 | 2017-08-11 |
| 1366972150 | A Caring Approach To Home Health Services Inc. | In Home Supportive Care | 200 Ashford Center North, Suite 370, Atlanta, GA 30338 | 2017-06-14 |
| Find all providers in zip 30338 | ||||
| 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 |
|---|---|---|---|---|
| 1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1922582907 | United Hearts Behavioral Health LLC. | Clinic/Center | 5832 Harrier Ln, Atlanta, GA 30349-8871 | 2018-09-17 |
| 1922501576 | Acorn Center for Counseling, Growth, & Healing LLC | Clinic/Center | 942 North Ave Ne, Atlanta, GA 30306-4466 | 2018-03-09 |
| 1750747812 | Dunwoody Psychiatry and Psychotherapy Center | Clinic/Center | 2150 Peachford Rd Ste V, Atlanta, GA 30338-6539 | 2016-01-05 |
| 1407457328 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-11-06 |
| 1467068890 | Tewann Tepper Lpc | Clinic/Center | 1755 The Exchange Se, Atlanta, GA 30339-7400 | 2020-09-21 |
| 1790393866 | A Sound Mind Rehabilitation Institution Inc. | Clinic/Center | 5574 Grammercy Dr Sw, Atlanta, GA 30349-1291 | 2020-07-15 |
| 1043834724 | Renewed & Restored LLC | Clinic/Center | 2531 Briarcliff Rd Ne Ste 203, Atlanta, GA 30329-3017 | 2020-05-29 |
| 1316577091 | Lotus Therapeutic Services | Clinic/Center | 2900 Chamblee Tucker Rd, Atlanta, GA 30341-4100 | 2020-01-22 |
| 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.