LE REVE SPINAL CARE CLINIC CO. (NPI# 1336506310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336506310 |
| Entity Type | Organization |
| Organization Name | LE REVE SPINAL CARE CLINIC CO. |
| Other Organization Name | LE REVE SPINAL CARE CLINIC |
| Practice Address |
1827 Powers Ferry Rd Se Building 7, Suite 150 Atlanta GA 30339-5621 |
| Practice Telephone | 6784013803 |
| Mailing Telephone | 6784013803 |
| Enumeration Date | 2016-01-22 |
| Last Update Date | 2016-09-19 |
| Authorized Official Name | DR. AMIR ASHKAN BANISHAHI (PRESIDENT/ CHIROPRACTOR) |
| Authorized Official Telephone | 3107955265 |
| Authorized Official Credential | D.C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111NR0200X |
Chiropractor Specialization: Radiology |
CHIR009638 | GA | Chiropractic Providers |
| N | 111NN0400X |
Chiropractor Specialization: Neurology |
CHIR009638 | GA | Chiropractic Providers |
| N | 111N00000X | Chiropractor | CHIR009638 | GA | Chiropractic Providers |
| N | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
CHIR009638 | GA | Chiropractic Providers |
| N | 111NI0900X |
Chiropractor Specialization: Internist |
CHIR009638 | GA | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
CHIR009638 | GA | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
CHIR009638 | GA | Chiropractic Providers |
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
CHIR009638 | GA | Chiropractic Providers |
| N | 111NI0900X |
Chiropractor Specialization: Internist |
33704 | CA | Chiropractic Providers |
| N | 111NX0800X |
Chiropractor Specialization: Orthopedic |
33704 | CA | Chiropractic Providers |
| N | 111NR0400X |
Chiropractor Specialization: Rehabilitation |
33704 | CA | Chiropractic Providers |
| N | 111NS0005X |
Chiropractor Specialization: Sports Physician |
33704 | CA | Chiropractic Providers |
| N | 111NP0017X |
Chiropractor Specialization: Pediatric Chiropractor |
33704 | CA | Chiropractic Providers |
| N | 111NR0200X |
Chiropractor Specialization: Radiology |
33704 | CA | Chiropractic Providers |
| Y | 111NI0013X |
Chiropractor Specialization: Independent Medical Examiner |
33704 | CA | Chiropractic Providers |
| Other Name | Type Code |
|---|---|
| Le Reve Spinal Care Clinic | Doing Business As Name - Organization |
| Street Address |
1827 POWERS FERRY RD SE BUILDING 7 , SUITE 150 |
| City | ATLANTA |
| State | GA |
| Zip Code | 30339-5621 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376562736 | Jeffrey Lynn Binder | Psychologist | 1827 Powers Ferry Rd Se, Bldg. 22, Ste. 200, Atlanta, GA 30339-5621 | 2006-07-18 |
| 1497214308 | Horner Md, LLC | General Practice | 1827 Powers Ferry Rd Se, Atlanta, GA 30339-5621 | 2019-03-19 |
| 1609315795 | Smile Project Support Services, LLC | Community/Behavioral Health | 1827 Powers Ferry Rd Se, Building 7, Suite 350, Atlanta, GA 30339-5621 | 2017-02-22 |
| 1184070575 | Psychological Diagnostic Center, LLC | Psychologist | 1827 Powers Ferry Rd Se, Building 22, Suite 200, Atlanta, GA 30339-5621 | 2016-05-04 |
| 1235596156 | Amir A Banishahi | Chiropractor | 1827 Powers Ferry Rd Se, Building 7, Suite 150, Atlanta, GA 30339-5621 | 2016-01-22 |
| 1205201126 | Rachel Scheinfield | Psychologist | 1827 Powers Ferry Rd Se, Building 22, Atlanta, GA 30339-5621 | 2015-12-03 |
| 1275929176 | Jeffrey Lee Helms | Clinic/Center | 1827 Powers Ferry Rd Se, Building 22, Suite 200, Atlanta, GA 30339-5621 | 2015-04-08 |
| 1811394539 | Erin Enzweiler | Counselor | 1827 Powers Ferry Rd Se, Atlanta, GA 30339 | 2014-11-24 |
| 1114352093 | Jessica Anne Mcmillan | Marriage & Family Therapist | 1827 Powers Ferry Rd Se, Building 7 Suite 350, Atlanta, GA 30339-5621 | 2013-09-10 |
| 1063852051 | Synergy Counseling Services | Community/Behavioral Health | 1827 Powers Ferry Rd Se, Bldg. 21, Ste 350, Atlanta, GA 30339-5621 | 2013-07-05 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891303426 | Cheryl E Williams | Counselor | 1870 The Exchange, Suite 200 - 361, Atlanta, GA 30339 | 2020-07-20 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1881165207 | Le Reve Medical Clinic PC | Family Medicine | 1827 Powers Ferryy Rd Se Bldg 7, Suite 150, Atlanta, GA 30339 | 2018-12-11 |
| 1013499821 | Deonna Pennamon | Specialist/Technologist | 5625 Suffex Green Lane, Atlanta, GA 30339 | 2018-08-29 |
| 1205326915 | Matthew Buyert | Counselor | 1827 Powers Ferry Rd Se Ste 22, Atlanta, GA 30339 | 2018-05-17 |
| 1760991632 | Horizons Unlimited Professional Services Inc. | Community/Behavioral Health | 1755 The Exchange Se Ste 190, Atlanta, GA 30339 | 2017-09-23 |
| 1932624418 | Kheder Basheer | Student in an Organized Health Care Education/Training Program | 3224 Post Woods Dr., Apt E, Atlanta, GA 30339 | 2017-08-07 |
| 1417486820 | Ashley Drake | Counselor | 4695 N Church Ln Se Apt 10306, Atlanta, GA 30339 | 2017-06-08 |
| 1992248298 | New Legacy Counseling and Training Center | Point of Service | 3350 Riverwood Parkway, Suite 1925, Atlanta, GA 30339 | 2016-11-18 |
| Find all providers in zip 30339 | ||||
| Taxonomy Code | 111NI0013X |
| Grouping | Chiropractic Providers |
| Classification | Chiropractor |
| Specialization | Independent Medical Examiner |
| A special evaluator not involved with the medical care of the individual examinee that impartially evaluates the care being provided by other practitioners to clarify clinical, disability, liability or other case issues. |
| Notes: Source: American Board of Independent Medical Examiners [1/1/2007: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013380484 | Carl Parsee Jr. | Chiropractor | 1301 Old Hammond Chase, Atlanta, GA 30350-4955 | 2015-11-07 |
| 1356620454 | Supporting Your Daily Health, LLC | Chiropractor | 147 North Ave Ne, Atlanta, GA 30308-2328 | 2011-08-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407467996 | Mary Ashley Goodman | Chiropractor | 9570 Nesbit Ferry Rd Ste 101, Alpharetta, GA 30022-6859 | 2020-08-10 |
| 1871039156 | Mcintosh Chiropratic | Chiropractor | 208 Fort King George Dr, Darien, GA 31305 | 2017-01-11 |
| 1891242566 | Habib David Nasajpour | Chiropractor | 104 Stuart Castle Way Se, Smyrna, GA 30082-5227 | 2016-09-09 |
| 1558816017 | Tiffany Ringfield | Chiropractor | 6949 S Sweetwater Rd, Lithia Springs, GA 30122-2465 | 2016-08-24 |
| 1477913838 | Complete Care Solutions, Inc. | Chiropractor | 2325 Log Cabin Dr Se Ste 107, Vinings, GA 30339-6742 | 2016-02-29 |
| 1952775231 | Thrive Chiropractic Center | Chiropractor | 2017 Country Place Dr, Augusta, GA 30906-8738 | 2015-11-24 |
| 1942519566 | Liberty County Clinic of Chiropractic | Chiropractor | 951 Elma G Miles Pkwy, Hinesville, GA 31313-4514 | 2010-09-30 |
| 1568612661 | Young Soo Jean | Chiropractor | 2174 Pleasant Hill Rd, Suite 106, Duluth, GA 30096-4606 | 2008-09-25 |
| 1851554125 | Duane Ollie Fields | Chiropractor | 233 Williams Dr, Bonaire, GA 31005-3826 | 2008-07-08 |
| 1700044179 | Nova A. Grande | Chiropractor | 415 Peachtree Pkwy Ste 230, Cumming, GA 30041-7235 | 2008-06-02 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on LE REVE SPINAL CARE CLINIC CO..
| 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.