ADVANCE THERAPEUTIC CONCEPTS, INC. (NPI# 1407090525) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407090525 |
| Entity Type | Organization |
| Organization Name | ADVANCE THERAPEUTIC CONCEPTS, INC. |
| Practice Address |
2795 Main St W Suite 20-b Snellville GA 30078-3164 |
| Practice Telephone | 6783447836 |
| Practice Fax Number | 6788928575 |
| Mailing Telephone | 6783447836 |
| Mailing Fax Number | 6788928575 |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | MRS. SCHANTATE JOHNSON (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6783447836 |
| Authorized Official Credential | LMSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932511144 | Advance Therapeutic Concepts, Inc. | Community/Behavioral Health | 2795 Main St W, Suite 20b, Snellville, GA 30078-3164 | 2014-05-21 |
| Street Address |
2795 MAIN ST W SUITE 20-B |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-3164 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285721621 | Franckel Val | Psychiatry & Neurology | 2795 Main St W, 25-b, Snellville, GA 30078-3164 | 2006-10-06 |
| 1912536723 | Natalie S Wellington | Counselor | 2795 Main St W, Snellville, GA 30078-3164 | 2020-04-03 |
| 1245872605 | Fildin Joseph | Counselor | 2795 Main St W, Snellville, GA 30078-3164 | 2019-10-16 |
| 1780147728 | Dayna R Martin | Social Worker | 2795 Main St W, Snellville, GA 30078-3164 | 2019-04-08 |
| 1114487824 | Shetika N. Watkins | Counselor | 2795 Main St W, Snellville, GA 30078-3164 | 2019-03-20 |
| 1477010890 | Sonata Poon | Nurse Practitioner | 2795 Main St W, Snellville, GA 30078-3164 | 2019-02-21 |
| 1851863088 | Shatonga Ramirez | Contractor | 2795 Main St W, Snellville, GA 30078-3164 | 2018-12-28 |
| 1730655655 | Arshonye Henderson | Behavior Technician | 2795 Main St W, Snellville, GA 30078-3164 | 2018-10-18 |
| 1033693759 | Jeffery Ellison | Counselor | 2795 Main St W, Snellville, GA 30078-3164 | 2018-09-18 |
| 1750875886 | Michelle Denise Bethune | Counselor | 2795 Main St W, Snellville, GA 30078-3164 | 2018-06-21 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| 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 |
|---|---|---|---|---|
| 1366063737 | Therapeutic Resolutions LLC | Community/Behavioral Health | 2330 Scenic Hwy S Ste 225, Snellville, GA 30078-3115 | 2020-04-27 |
| 1235786419 | Preventative Health & Wellness, LLC | Community/Behavioral Health | 2310 Henry Clower Blvd Ste A, Snellville, GA 30078-5776 | 2019-08-21 |
| 1124522818 | Wecare Counseling Services, LLC | Community/Behavioral Health | 2330 Scenic Hwy S Ofc Suite, Snellville, GA 30078-3115 | 2018-03-19 |
| 1508368051 | Sovereign Medical Services, Inc | Community/Behavioral Health | 3806 Wood Hollow Way, Snellville, GA 30039 | 2018-03-01 |
| 1841736444 | M.a.c. Youth Services | Community/Behavioral Health | 2365 Thackery Rd, Snellville, GA 30078-4141 | 2017-01-06 |
| 1871955781 | Art of Therapy Wellness Center | Community/Behavioral Health | 4598 Ash Tree St, Snellville, GA 30039-3361 | 2016-03-22 |
| 1235560269 | C2 It, LLC | Community/Behavioral Health | 3231 Lenora Church Rd, Snellville, GA 30039-4803 | 2013-12-02 |
| 1417297425 | A Golden Life Personal Care Home, LLC | Community/Behavioral Health | 3153 Dove Ct, B, Snellville, GA 30078-3652 | 2013-02-28 |
| 1427304633 | Sunshine Dreamassisted Living LLC | Community/Behavioral Health | 4841 Lenora Church Rd, Snellville, GA 30039-7707 | 2012-07-25 |
| 1902189723 | Haven Developmental Care | Community/Behavioral Health | 4794 Michael Jay St, Snellville, GA 30039-7630 | 2011-09-28 |
| Find all providers in SNELLVILLE | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
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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.