CHOICES FOR LIFE OF GEORGIA, LLC (NPI# 1437395860) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437395860 |
| Entity Type | Organization |
| Organization Name | CHOICES FOR LIFE OF GEORGIA, LLC |
| Practice Address |
2080 Sugarloaf Pkwy Lawrenceville GA 30045-9401 |
| Practice Telephone | 7064941821 |
| Practice Fax Number | 7064941989 |
| Mailing Telephone | 7064941821 |
| Mailing Fax Number | 7064941989 |
| Enumeration Date | 2009-01-07 |
| Last Update Date | 2009-01-07 |
| Authorized Official Name | MR. DOUGLAS CHARLES FELLRATH (CEO) |
| Authorized Official Telephone | 4057510800 |
| Authorized Official Credential | JD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | CPFC001072 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 001462443A | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164668596 | Choices for Life of Georgia, LLC | Community/Behavioral Health | 4330 Gilbert Ave, Columbus, GA 31904-6519 | 2009-01-07 |
| 1841328960 | Choices for Life of Georgia, LLC | Community/Behavioral Health | 2200 N Patterson Street, Suite D, Valdosta, GA 31602-2573 | 2007-03-01 |
| Street Address |
2080 SUGARLOAF PKWY |
| City | LAWRENCEVILLE |
| State | GA |
| Zip Code | 30045-9401 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285104315 | Shalanda Monique Booker | Counselor | 2940 Emerald Springs Drive, Lawrenceville, GA 30045 | 2018-12-02 |
| 1669957320 | Chantelle S Fuller | Behavioral Analyst | 805 Donington Cir, Lawrenceville, GA 30045 | 2018-09-28 |
| 1356836035 | Gad Health Care LLC | Home Health | 1140 Great Oaks Dr, Lawrenceville, GA 30045 | 2018-06-26 |
| 1346668662 | Eca Optical, LLC | Eyewear Supplier (Equipment, not the service) | 601-a Professional Drive, Ste 170, Lawrenceville, GA 30045 | 2014-04-03 |
| 1598102733 | Selena Fuller | Nurse Practitioner | 181 South Clayton Street, Lawrenceville, GA 30045 | 2013-05-29 |
| 1942555982 | Vida Michele James-bryant | Community Health Worker | 1309 Avington Glen Dr, Lawrenceville, GA 30045 | 2012-07-16 |
| 1770840639 | Rebecca Vinson D'angelo | Occupational Therapist | 1518 Great Shoals Cir, Lawrenceville, GA 30045 | 2012-04-17 |
| 1427346774 | Amanda Michelel Woods | Psychologist | 285 South Perry Street, Lawrenceville, GA 30045 | 2011-07-20 |
| 1790070563 | M & G Pharmacy Inc | Pharmacy | 100 Hurricane Shoals Rd Suite F, Lawrenceville, GA 30045 | 2011-06-09 |
| 1306146154 | Thanh Dau | Optometrist | 1250 Scenic Highway, Ste 1268, Lawrenceville, GA 30045 | 2010-10-27 |
| Find all providers in zip 30045 | ||||
| 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 |
|---|---|---|---|---|
| 1093313868 | Tri Counties Behavioral Health Services, LLC | Community/Behavioral Health | 1807 Piney Woods Road, Lawrenceville, VA 23868 | 2020-10-14 |
| 1730725862 | The Arc/mercer Inc. | Community/Behavioral Health | 28 Freedom Ct, Lawrenceville, NJ 08648-4552 | 2019-11-25 |
| 1558907683 | The Arc/mercer Inc. | Community/Behavioral Health | 30 Freedom Ct, Lawrenceville, NJ 08648-4552 | 2019-11-25 |
| 1659930279 | Smart Guobadia | Community/Behavioral Health | 1174 Mckendree Church Rd Ste 100, Lawrenceville, GA 30043-6000 | 2019-06-07 |
| 1518459270 | Eagle Counseling & Consulting LLC | Community/Behavioral Health | 1561 Bramlett Hill Ln, Lawrenceville, GA 30045-2601 | 2018-05-30 |
| 1457871782 | Serv Achievement Centers Inc | Community/Behavioral Health | 6 Wilk Ct, Lawrenceville, NJ 08648-1463 | 2017-06-27 |
| 1699206177 | Hrs Consulting LLC | Community/Behavioral Health | 800 Livery Cir, Lawrenceville, GA 30046-9345 | 2017-03-25 |
| 1487106563 | Village Life,llc | Community/Behavioral Health | 569 Granite Ct, Lawrenceville, GA 30044-6931 | 2016-10-25 |
| 1679955132 | Arc Mercer, Inc | Community/Behavioral Health | 2350 Princeton Pike, Apt 425, Lawrenceville, NJ 08648-3937 | 2015-06-22 |
| 1740662204 | Arc Mercer, Inc | Community/Behavioral Health | 423 Lawrenceville Rd, Apt 510, Lawrenceville, NJ 08648-4229 | 2015-06-22 |
| Find all providers in LAWRENCEVILLE | ||||
| City | LAWRENCEVILLE |
| Zip Code | 30045 |
Please comment or provide details below to improve the information on CHOICES FOR LIFE OF GEORGIA, LLC.
| 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.