TORI TATUM (NPI# 1477909745) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1477909745 |
| Entity Type | Individual |
| Full Name | TORI TATUM |
| Credential | M.ED., NCC, LPC |
| Practice Address |
4485 Tench Rd Ste 1111 Suwanee GA 30024 |
| Mailing Address |
4485 Tench Rd Ste 1111 Suwanee GA 30024-6741 |
| Practice Telephone | 6785998235 |
| Mailing Telephone | 6785998235 |
| Enumeration Date | 2016-05-05 |
| Last Update Date | 2020-02-05 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LPC011202 | GA | Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 2750 Old Alabama Rd, #200, Johns Creek, GA 300228593 | 6788935300 |
| Street Address |
4485 TENCH RD STE 1111 |
| City | SUWANEE |
| State | GA |
| Zip Code | 30024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215206040 | Amanda H Pileski | Psychologist | 4485 Tench Rd Ste 1111, Suwanee, GA 30024-6741 | 2011-12-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356996565 | Stephanie Arkin | Student in an Organized Health Care Education/Training Program | 25 Old Peachtree Rd Nw, Suwanee, GA 30024 | 2019-08-05 |
| 1164989638 | Laquitta Craft | Registered Nurse | 2855 Lawrenceville Suwanee Road Suite 330/340, Suwanee, GA 30024 | 2019-02-21 |
| 1467937235 | Greater Atlanta Monitoring, LLC | Electrodiagnostic Medicine | 3651 Peachtree Ste E. #331, Suwanee, GA 30024 | 2018-09-27 |
| 1760963482 | Esther Natacha Lafontant | Public Health or Welfare | 3205 Maple Terrace Drive, Suwanee, GA 30024 | 2018-08-22 |
| 1740778463 | Immaculate Healthcare Solutions, LLC | Home Health | 970 Peachtree Industrial Blvd Ste 8, Suwanee, GA 30024 | 2018-04-27 |
| 1053819235 | Sean Wonsuk Jang | Chiropractor | 3370 Lawrenceville Suwanee Rd Ste 118, Suwanee, GA 30024 | 2018-01-23 |
| 1932628468 | Silver Health Services, Inc. | Case Manager/Care Coordinator | 2640 Westbury Court, Swanee, GA 30024 | 2017-09-15 |
| 1285159095 | April L. Rivers | Nurse Practitioner | 4411 Suwanee Dam Rd Ste 110, Suwanee, GA 30024 | 2017-08-14 |
| 1144743840 | Nabil Elkareh | Pharmacist | 5049 Tarry Glen Drive., Suwanee, GA 30024 | 2017-07-25 |
| 1720508294 | Robert A Finkel Dds PC | Clinic/Center | 1325 Satellite Blvd Nw Ste 1304, Suwanee, GA 30024 | 2017-06-26 |
| Find all providers in zip 30024 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578171021 | Katelyn Derogatis | Counselor | 4300 Westbrook Rd, Suwanee, GA 30024-4987 | 2020-07-21 |
| 1164064366 | Empower Counseling Center LLC | Counselor | 4411 Suwanee Dam Rd Ste 450, Suwanee, GA 30024-8706 | 2019-10-09 |
| 1629627062 | Linda Yeager Scott | Counselor | 368 Aviemore Ln, Suwanee, GA 30024-7549 | 2019-09-09 |
| 1497271746 | Corrie Brewton | Counselor | 3905 Johns Creek Ct Ste 260, Suwanee, GA 30024-1226 | 2017-08-18 |
| 1205281300 | Amiracle Sha'ron Watson | Counselor | 4025 Mcginnis Ferry Rd, Apt 1327b, Suwanee, GA 30024-8315 | 2016-04-27 |
| 1821455692 | Corissa Maclean | Counselor | 3630 Oak Park Dr, Suwanee, GA 30024-1868 | 2016-01-25 |
| 1760883664 | Tanisha Nicole Johnson | Counselor | 2724 Beynon Ln, Suwanee, GA 30024-7296 | 2014-09-10 |
| 1992060982 | Madeline Diane Chrestman | Counselor | 4485 Tench Rd Ste 1220, Suwanee, GA 30024-6742 | 2012-07-06 |
| 1144496092 | George Wells Petras | Counselor | 3675 Lawrenceville Suwanee Rd, Suwanee, GA 30024-2328 | 2008-05-01 |
| 1902950801 | Jennifer W. Rotunda | Counselor | 825 Earlham Dr, Suwanee, GA 30024-8538 | 2007-01-22 |
| Find all providers in SUWANEE | ||||
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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.