ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC (NPI# 1508051178) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508051178 |
| Entity Type | Organization |
| Organization Name | ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC |
| Other Organization Name | ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC. |
| Practice Address |
4146 Highway 278 Ne Covington GA 30014-2494 |
| Practice Telephone | 7707873788 |
| Practice Fax Number | 7707865159 |
| Mailing Telephone | 7707873788 |
| Mailing Fax Number | 7707865159 |
| Enumeration Date | 2007-09-07 |
| Last Update Date | 2010-07-08 |
| Authorized Official Name | MRS. SHERRY SIMPSON (DIRECTOR) |
| Authorized Official Telephone | 7707873788 |
| Authorized Official Credential | LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 251B00000X | Case Management | Agencies | ||
| N | 3245S0500X |
Substance Abuse Rehabilitation Facility Specialization: Substance Abuse Treatment, Children |
Residential Treatment Facilities | ||
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 942032473A | 05 |
| Other Name | Type Code |
|---|---|
| ASFC Outreach Therapeutic Counseling Services, LLC. | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932611688 | Asfc Outreach Therapeutic Counseling Services, LLC | Counselor | 1755 North Brown Road, Suite 200, Lawrenceville, GA 30043 | 2017-11-02 |
| Street Address |
4146 HIGHWAY 278 NE |
| City | COVINGTON |
| State | GA |
| Zip Code | 30014-2494 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831682020 | Angellica Marie Wentworth | Marriage & Family Therapist | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2018-06-12 |
| 1780171744 | Debra Faye Edwards | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2018-04-16 |
| 1326543604 | Latoria Hairston | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2018-03-28 |
| 1831621580 | Camelia Hicks | Nurse Practitioner | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2017-03-31 |
| 1306262274 | Shondalette Chatfield | Community/Behavioral Health | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2014-03-14 |
| 1205252897 | Deborah Miller | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2014-03-06 |
| 1164735247 | Kimberly A. Adams | Psychologist | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2010-07-19 |
| 1811147333 | Marcus Duane Linen | Counselor | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2008-09-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801495635 | Cathy Cassandra Collins | Pharmacist | 3639 Hwy 278, Covington, GA 30014 | 2020-10-22 |
| 1154933877 | Atl Optical LLC | Optometrist | 3135 Highway 278 Ne, Covington, GA 30014 | 2020-08-24 |
| 1932737046 | Samagas House Org | Adult Companion | 1500 Mountain View Cirlcle, Conyers, GA 30014 | 2020-04-01 |
| 1356834360 | Covington Dental Care | Dentist | 4139 Baker Street, Suite 15, Covington, GA 30014 | 2018-06-13 |
| 1487190005 | New Avenues Assessment and Counseling Center LLC | Counselor | 3192 Spring Street, Covington, NEWTON 30014 | 2017-01-07 |
| 1275903973 | Jennifer Carol Bridges | Registered Nurse | 320 Malcom Lane, Covington, GA 30014 | 2015-10-07 |
| 1134598501 | Shelby Boggus King | Physician Assistant | 4181 Hospital Drive Ne, Suite 204, Covington, GA 30014 | 2015-09-16 |
| 1366829814 | Wendy Pazdur | Counselor | 5109 Hwy 278 East, Suite D, Covington, GA 30014 | 2015-05-05 |
| 1306235445 | Covington Center for Family Dentistry | Dentist | 10373 Industrial Blvd, Covington, GA 30014 | 2015-01-13 |
| 1992103428 | Modern Cosmetic Dental Care, LLC | Clinic/Center | 1750 Highway 11, Suite B, Covington, GA 30014 | 2014-12-16 |
| Find all providers in zip 30014 | ||||
| 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 |
|---|---|---|---|---|
| 1497314900 | Raymir Behavioral Health LLC | Community/Behavioral Health | 2899 H D Atha Rd, Covington, GA 30014-0728 | 2019-06-08 |
| 1730547977 | Paragon Wellness, LLC | Community/Behavioral Health | 726 E Rutland St, Covington, LA 70433-3223 | 2016-02-02 |
| 1396136933 | Tchefuncte Family Counseling | Community/Behavioral Health | 321 N Vermont St, Suite 203, Covington, LA 70433-2833 | 2015-02-17 |
| 1780087007 | Parr Educational Evaluations, LLC | Community/Behavioral Health | 5001 Hwy190, Suite B, Covington, LA 70433 | 2014-10-01 |
| 1821497603 | Around Atlanta Psychotherapy Concepts, LLC | Community/Behavioral Health | 580 Clearbrook Dr, Covington, GA 30016-9134 | 2014-08-18 |
| 1023444197 | Second Chance Youth Community Center Inc | Community/Behavioral Health | 3303 Salem Rd, Covington, GA 30016-1865 | 2013-09-20 |
| 1902249485 | Family Preservation Services, Inc. | Community/Behavioral Health | 4050 Midland Trl, Covington, VA 24426-5403 | 2013-04-15 |
| 1831532431 | Family Preservation Services, Inc. | Community/Behavioral Health | 100 Gleason Dr, Covington, VA 24426-6246 | 2013-04-12 |
| 1730522335 | Family Preservation Services, Inc. | Community/Behavioral Health | 1000 Riverview Farm Rd, Covington, VA 24426-6245 | 2013-04-12 |
| 1215294137 | Scholar Specialized Treatment Services | Community/Behavioral Health | 45 Wellstone Pl, Covington, GA 30014-7076 | 2012-04-17 |
| Find all providers in COVINGTON | ||||
Please comment or provide details below to improve the information on ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, 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.