THE OLIVIA CENTER FOR DEVELOPMENTAL DISABILITIES, LLC (NPI# 1275828865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275828865 |
| Entity Type | Organization |
| Organization Name | THE OLIVIA CENTER FOR DEVELOPMENTAL DISABILITIES, LLC |
| Practice Address |
11050 Crabapple Rd Suite C-109 Roswell GA 30075-2489 |
| Practice Telephone | 7708995311 |
| Mailing Telephone | 7708995311 |
| Enumeration Date | 2011-06-13 |
| Last Update Date | 2011-06-13 |
| Authorized Official Name | MRS. TARA KELLY WILLIAMS (OWNER) |
| Authorized Official Telephone | 7708995311 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251C00000X | Day Training, Developmentally Disabled Services | GA | Agencies | |
| Y | 251S00000X | Community/Behavioral Health | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 662980423A | 05 | |
| GA | 662980423B | 05 |
| Street Address |
11050 CRABAPPLE RD SUITE C-109 |
| City | ROSWELL |
| State | GA |
| Zip Code | 30075-2489 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407833205 | Howard Alan Reisman | Obstetrics & Gynecology | 11050 Crabapple Rd, Suite 111d, Roswell, GA 30075-2489 | 2005-12-22 |
| 1174970677 | Terri Haskins Cohen | Speech-Language Pathologist | 11050 Crabapple Rd, Bldg D Suite 115-a, Roswell, GA 30075-2489 | 2016-05-16 |
| 1164777611 | Tracy J Kowalski | Nurse Practitioner | 11050 Crabapple Rd, Building A, Suite 104-b, Roswell, GA 30075-2489 | 2012-07-20 |
| 1962799734 | Farah Mubarak Ali | Family Medicine | 11050 Crabapple Rd, 104 B, Roswell, GA 30075-2489 | 2011-06-30 |
| 1578790036 | Lara Ashley Burer | Clinical Nurse Specialist | 11050 Crabapple Rd, Suite 120, Roswell, GA 30075-2489 | 2009-06-11 |
| 1770734030 | Elizabeth Ruka Bien | Pediatrics | 11050 Crabapple Rd, Suite 120, Roswell, GA 30075-2489 | 2008-10-06 |
| 1952580177 | North Roswell Internal Medicine, PC | Internal Medicine | 11050 Crabapple Rd, Bldg. A Ste 104-b, Roswell, GA 30075-2489 | 2007-10-25 |
| 1285768184 | Pediatric Physicians, P.C. | Clinic/Center | 11050 Crabapple Rd, Suite 120, Roswell, GA 30075-2489 | 2007-03-15 |
| 1487784468 | Atlanta North Gynecology, P.C. | Obstetrics & Gynecology | 11050 Crabapple Rd, Suite 111d, Roswell, GA 30075-2489 | 2007-03-07 |
| 1841352804 | Judy Ann Kerr | Physical Therapist | 11050 Crabapple Rd, Suite 114d, Roswell, GA 30075-2489 | 2006-12-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851889539 | William Shelton Green | Specialist/Technologist | 1055 Riceland Ct, Roswell, GA 30075 | 2018-04-27 |
| 1043712524 | Lena Claire Morison | Music Therapist | 12060 Etris Rd. #200, Roswell, GA 30075 | 2018-03-01 |
| 1790232031 | Christina Danielle Dicioccio | Physician Assistant | 11040 Crabapple Rd # Suiea, Roswell, GA 30075 | 2016-09-02 |
| 1720531767 | Arbor Cove Therapy LLC | Social Worker | 981 Canton St, Suite 200-e, Roswell, GA 30075 | 2016-07-26 |
| 1740640887 | Christina C Plaice | Counselor | 10882 Crabapple Road, Suite 2, Roswell, GA 30075 | 2016-03-02 |
| 1215316435 | Jlm X-ray LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1015 Canton Street, Roswell, GA 30075 | 2015-05-20 |
| 1174953624 | Ellen Terrell | Occupational Therapist | 10050 Crabapple Road, Suite D-115a, Roswell, GA 30075 | 2013-11-20 |
| 1114269974 | Patricia E Hernandez | Nurse Practitioner | 10479 Alpharetta St Ste 18, Roswell, GA 30075 | 2013-03-20 |
| 1750623658 | The George Center Foundation | Music Therapist | 1206 Etris Rd., Suite 200, Roswell, GA 30075 | 2013-03-19 |
| 1407187735 | Rachael Anne Templeton | Chiropractor | 593 Atlanta Street, Gorman Chiropractic, Roswell, GA 30075 | 2010-01-27 |
| Find all providers in zip 30075 | ||||
| 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 |
|---|---|---|---|---|
| 1174163984 | Beyond Behavioral Solutions, LLC | Community/Behavioral Health | 420 Roswell Hills Pl, Roswell, GA 30075-3554 | 2020-01-09 |
| 1871007161 | Expansion Guidance Services | Community/Behavioral Health | 760 Old Roswell Rd Ste 208, Roswell, GA 30076-8686 | 2017-11-22 |
| 1912416611 | Brady Behavior Analysis | Community/Behavioral Health | 11865 Wexford Club Dr, Roswell, GA 30075-1471 | 2017-09-25 |
| 1295289759 | Ahmanique Wholeness & Well-being | Community/Behavioral Health | 803 Bombay Ln Ste C, Roswell, GA 30076-5819 | 2016-08-12 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1962891853 | Practical Solutions Counseling, LLC | Community/Behavioral Health | 555 Sun Valley Dr Ste P4, Roswell, GA 30076-5633 | 2015-01-15 |
| 1205258795 | Esperanza Substance Abuse Services Inc. | Community/Behavioral Health | 516 S Hemlock Ave, Roswell, NM 88203-1530 | 2014-01-17 |
| 1811239338 | Susanna Rand | Community/Behavioral Health | 500 N Main St Ste 1006, Roswell, NM 88201-4768 | 2013-03-22 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1093062580 | Pecos Valley Counseling | Community/Behavioral Health | 409 N Kansas Ave, Roswell, NM 88201-3945 | 2012-08-14 |
| Find all providers in ROSWELL | ||||
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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.