THE POTTER'S HOUSE FAMILY AND CHILDREN TREATMENT CENTER (NPI# 1326230020) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326230020 |
| Entity Type | Organization |
| Organization Name | THE POTTER'S HOUSE FAMILY AND CHILDREN TREATMENT CENTER |
| Practice Address |
2300 W Park Place Blvd Ste 135 Stone Mountain GA 30087 |
| Mailing Address |
5183 Legends Dr Braselton GA 30517-6210 |
| Practice Telephone | 6783304000 |
| Mailing Telephone | 6783301400 |
| Mailing Fax Number | 6783301405 |
| Enumeration Date | 2007-08-16 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | MR. JEFFREY LAMON TOBIAS (CEO) |
| Authorized Official Telephone | 4042475971 |
| Authorized Official Credential | M.DIV |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
2300 W PARK PLACE BLVD STE 135 |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275003337 | Statisha L Perry | Counselor | 2300 W Park Place Blvd Ste 135, Suite 135, Stone Mountain, GA 30087-3561 | 2018-12-03 |
| 1922578236 | Crystal Latory Norwood | Counselor | 2300 W Park Place Blvd Ste 135, Stone Mountain, GA 30087-3561 | 2018-11-29 |
| 1972073658 | Nona R Sturgies | Counselor | 2300 W Park Place Blvd Ste 135, Stone Mountain, GA 30087-3561 | 2018-11-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306451265 | Chrystal Care | Clinic/Center | 3206 Stratford Cir, Morrow, GA 30260-8111 | 2020-09-08 |
| 1114536372 | The Mindful Match, LLC | Clinic/Center | 528b Angier Ave Ne, Atlanta, GA 30308-2902 | 2020-07-23 |
| 1427666817 | Atlanta Child and Family Therapy, LLC | Clinic/Center | 2144 Kodiak Dr Ne, Atlanta, GA 30345-4150 | 2020-07-21 |
| 1407474778 | Your Way Out, LLC | Clinic/Center | 2330 Scenic Hwy S Ste 316, Snellville, GA 30078-3115 | 2020-07-13 |
| 1073141271 | Monte Nido Georgia LLC | Clinic/Center | 126 Johnson Ferry Road Ne, Sandy Springs, GA 30328-3004 | 2020-04-01 |
| 1700418142 | Behavior Therapy Solutions LLC | Clinic/Center | 4744 N Royal Atlanta Dr Ste A, Tucker, GA 30084-3820 | 2020-02-04 |
| 1730721036 | Brown Professional Counseling & Consultation Services, LLC | Clinic/Center | 1105 Russell Pkwy Ste 2, Warner Robins, GA 31088-5586 | 2019-10-09 |
| 1184182115 | Pathways To Recovery Associates Inc. | Clinic/Center | 7210 Church St, Riverdale, GA 30274-2918 | 2019-03-08 |
| 1336614254 | Learn & Grow Family Counseling, LLC | Clinic/Center | 327 Dahlonega St Ste 402, Cumming, GA 30040-2486 | 2018-10-07 |
| 1790271633 | Jill Elizabeth Gresham | Clinic/Center | 750 Hammond Dr Ste 100, Atlanta, GA 30328-5532 | 2018-07-03 |
| Find all providers with the same taxonomy | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
Please comment or provide details below to improve the information on THE POTTER'S HOUSE FAMILY AND CHILDREN TREATMENT CENTER.
| 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.