SWEETWATER PSYCHOLOGICAL ASSOCIATES, LLC (NPI# 1467562827) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467562827 |
| Entity Type | Organization |
| Organization Name | SWEETWATER PSYCHOLOGICAL ASSOCIATES, LLC |
| Practice Address |
560 Thornton Rd Suite 106 Lithia Springs GA 30122-1655 |
| Mailing Address |
Po Box 1078 Lithia Springs GA 30122-7078 |
| Practice Telephone | 7707320982 |
| Practice Fax Number | 7707321283 |
| Mailing Telephone | 7707320982 |
| Mailing Fax Number | 7707321283 |
| Enumeration Date | 2006-08-30 |
| Last Update Date | 2007-10-27 |
| Authorized Official Name | DAVID C MARTIN (OWNER PARTNER) |
| Authorized Official Telephone | 7707320982 |
| Authorized Official Credential | PH.D |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 103T00000X | Psychologist | PSY001373, PSY00 | GA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY001373 | GA | Behavioral Health & Social Service Providers |
| N | 103TB0200X |
Psychologist Specialization: Cognitive & Behavioral |
PSY001157 | GA | Behavioral Health & Social Service Providers |
| N | 103TC2200X |
Psychologist Specialization: Clinical Child & Adolescent |
PSY001373, PSY00 | GA | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
CSW000729 | GA | Behavioral Health & Social Service Providers |
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
PSY001373, | GA | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114085743 | Sweetwater Psychological Associates, LLC | Psychologist | 2625 Sandy Plains Rd Ste 202, Secondary Location, Marietta, GA 30066-4291 | 2006-12-05 |
| Street Address |
560 THORNTON RD SUITE 106 |
| City | LITHIA SPRINGS |
| State | GA |
| Zip Code | 30122-1655 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134239593 | David C Martin | Psychologist | 560 Thornton Rd, Suite 106, Lithia Springs, GA 30122-1655 | 2006-08-30 |
| 1659807246 | One of A Kind Financial Services, Inc. | Counselor | 560 Thornton Rd, #204, Lithia Springs, GA 30122-1655 | 2017-05-03 |
| 1245537562 | Tamara N Godfrey | Psychologist | 560 Thornton Rd, Suite 106, Lithia Springs, GA 30122-1655 | 2011-02-23 |
| 1801028352 | Kenia Johnson | Psychologist | 560 Thornton Rd, Ste. 106, Lithia Springs, GA 30122-1655 | 2009-08-18 |
| 1114181542 | Progressive Health Center PC | Chiropractor | 560 Thornton Rd, Lithia Springs, GA 30122 | 2008-07-15 |
| 1770768004 | Tameka Hall | Dentist | 560 Thornton Rd, Suite 220, Lithia Springs, GA 30122-1655 | 2008-01-06 |
| 1851439459 | The Children's Dental Group, LLC | Dentist | 560 Thornton Rd, Suite 203, Lithia Springs, GA 30122-1655 | 2007-02-03 |
| 1770693194 | Robert H Painton | Psychologist | 560 Thornton Rd, Suite 106, Lithia Springs, GA 30122-1655 | 2006-08-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043798838 | Vivian Adu-aboagye | Registered Nurse | 7603 Forest Glen Way, Lithia Springs, GA 30122 | 2018-08-02 |
| 1588150510 | Vanessa Levet Hayes | Driver | 2100 Mesa Valleyway Apt1507, Lithiasprings, GA 30122 | 2018-07-02 |
| 1699279141 | Ariel Shell | Massage Therapist | 2060 Rolling Rock Ct, Lithia Springs, GA 30122 | 2018-03-20 |
| 1013323872 | First Choice Supportive Services, Incorporated | Personal Emergency Response Attendant | 3423 Summerlin Parkway, Lithia Springs, GA 30122 | 2014-07-01 |
| 1245659275 | Thumbs-up Transportation | Non-emergency Medical Transport (VAN) | 1517 Fenmore St., Lithia Springs, GA 30122 | 2014-04-07 |
| 1205262789 | Diana C Harris | Counselor | 561 Thornton Rd. Unit R, Lithia Springs, GA 30122 | 2013-09-17 |
| 1497910475 | Valissa Ann Dixon | Counselor | 6852 Florence Drive, Lithia Springs, GA 30122 | 2008-07-18 |
| 1548473267 | Lawrence Vision, Inc. | Ophthalmology | 939 Bob Arnold Blvd., Suite G, Lithia Springs, GA 30122 | 2007-05-08 |
| 1790903342 | Nahid Bahrami | Dentist | 524 Thornton Rd., Lithia Springs, GA 30122 | 2007-04-20 |
| 1831231828 | Harley Alan Belinky | Dentist | 1515 Westfork Dr., Lithia Springs, GA 30122 | 2007-02-13 |
| Find all providers in zip 30122 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902973928 | David M Saltzman | Psychologist | 1515 Westfork Drive, Suite B, Lithia Springs, GA 30122 | 2006-11-29 |
| 1801028352 | Kenia Johnson | Psychologist | 560 Thornton Rd, Ste. 106, Lithia Springs, GA 30122-1655 | 2009-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902403462 | Molly Elizabeth Katherine Mclaren | Psychologist | 1441 Clifton Rd Ne Ste 170, Atlanta, GA 30322-1004 | 2020-10-07 |
| 1588261945 | Raven Evans | Psychologist | 1800 Lake Park Dr Se Ste 123, Smyrna, GA 30080-7639 | 2020-10-07 |
| 1255945572 | Kerri Eileen Woodward | Psychologist | 6000 Lake Forrest Dr Ste 103, Atlanta, GA 30328-5902 | 2020-09-03 |
| 1932721784 | Essential Counseling & Consulting, Inc | Psychologist | 2800 Old Spanish Trl, College Park, GA 30349-4266 | 2020-05-15 |
| 1689296980 | Natalie N Watson-singleton | Psychologist | 2124 Cheshire Bridge Rd Ne Apt 4112, Atlanta, GA 30324-5733 | 2020-05-11 |
| 1336760164 | Lauren Olivia Patterson | Psychologist | 209 Thornwood Ct, Statesboro, GA 30458-0296 | 2020-05-04 |
| 1972123883 | Elizabeth Newton, Psyd and Assoc Inc | Psychologist | 1827 Powers Ferry Rd, Bldg 21, Atlanta, GA 30339 | 2020-04-21 |
| 1669091989 | Juliet Anne Buchwalter | Psychologist | 49 Lenox Pointe Ne Ste A, Atlanta, GA 30324-7426 | 2020-04-16 |
| 1790319549 | Thaddeus Reecesiri Reece | Psychologist | 771 Tulip Poplar Way, Lawrenceville, GA 30044-8819 | 2020-03-02 |
| 1508498395 | Walker Consulting & Psychological Services | Psychologist | 4375 Cobb Pkwy Se Ste 121, Atlanta, GA 30339-5537 | 2020-02-10 |
| Find all providers with the same taxonomy | ||||
| City | LITHIA SPRINGS |
| Zip Code | 30122 |
Please comment or provide details below to improve the information on SWEETWATER PSYCHOLOGICAL ASSOCIATES, 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.