ESFAHANI ENTERPRISES LLC (NPI# 1457901340) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457901340 |
| Entity Type | Organization |
| Organization Name | ESFAHANI ENTERPRISES LLC |
| Practice Address |
700 Churchill Ct Ste 110 Woodstock GA 30188-6880 |
| Mailing Address |
2274 Caraway Ct Marietta GA 30066-1203 |
| Practice Telephone | 7702849092 |
| Mailing Telephone | 4049330919 |
| Enumeration Date | 2019-09-12 |
| Last Update Date | 2019-09-12 |
| Authorized Official Name | MR. AMIR A ESFAHANI (PRESIDENT/MEDICAL DIRECTOR) |
| Authorized Official Telephone | 4049330919 |
| Authorized Official Credential | RN-BSN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| N | 103TP0814X |
Psychologist Specialization: Psychoanalysis |
Behavioral Health & Social Service Providers | ||
| N | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers | ||
| N | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers | ||
| N | 163WP0808X |
Registered Nurse Specialization: Psych/Mental Health |
Nursing Service Providers | ||
| Y | 103TC1900X |
Psychologist Specialization: Counseling |
Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Thriveworks | Doing Business As Name - Organization |
| Street Address |
700 CHURCHILL CT STE 110 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188-6880 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092019 | Michelle Wrayanne Glaze Parker | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2020-08-02 |
| 1053929786 | Thriveworks Woodstock | Clinic/Center | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2020-07-20 |
| 1295357028 | Deshawn Renarda Artis | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2020-05-14 |
| 1205479490 | Jacqueline Alexandra Lilly | Counselor | 700 Churchill Ct Ste 110, Woodstock, GA 30188-6880 | 2019-10-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 103TC1900X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Counseling |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831109701 | Coralie Scherer, Phd, Pa | Psychologist | 8910 Main St, Woodstock, GA 30188-4916 | 2006-08-09 |
| 1720045578 | Hope Cannon | Psychologist | 24 Elm St, 2nd Floor, Woodstock, VT 05091-1000 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467051573 | Latoya Crane | Psychologist | 260 Rock Hill Dr, Fayetteville, GA 30215-4953 | 2020-10-20 |
| 1871100024 | Life Skills Community Center Inc | Psychologist | 2440 Sandy Plains Rd Ste 300, Marietta, GA 30066-7217 | 2020-09-30 |
| 1275140386 | The Worth, Wisdom, and Wellness Center LLC | Psychologist | 1201 W Peachtree St Nw Ste 2330, Atlanta, GA 30309-3453 | 2020-09-23 |
| 1487268744 | Dontavious Ford | Psychologist | 107 Childs St, Stockbridge, GA 30281-3722 | 2020-09-03 |
| 1740893601 | Georgia Mountain Psychological Associates Inc. | Psychologist | 851 Highway 441 S Ste 105, Clayton, GA 30525-5424 | 2020-08-28 |
| 1295345734 | John Myers | Psychologist | 5714 Old National Hwy, College Park, GA 30349-3836 | 2020-08-07 |
| 1376161661 | Bright Minds Psychological Services, Inc | Psychologist | 526 Forest Pkwy Ste C, Forest Park, GA 30297-6140 | 2020-07-13 |
| 1760006035 | Healthy Connections Counseling | Psychologist | 4434 Columbia Rd Ste 202, Martinez, GA 30907-4271 | 2020-06-03 |
| 1578183034 | Stephen Clay Marks | Psychologist | 216 Dogwood Dr, Ellijay, GA 30540-5527 | 2020-04-24 |
| 1376173658 | Marcuetta D. Sims | Psychologist | 2436 Wood Meadows Dr Sw, Marietta, GA 30064-4471 | 2020-01-25 |
| Find all providers with the same taxonomy | ||||
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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.