PERSONAL RECOVERY NETWORK LLC (NPI# 1700246550) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700246550 |
| Entity Type | Organization |
| Organization Name | PERSONAL RECOVERY NETWORK LLC |
| Other Organization Name | GEORGIA BEHAVIORAL HEALTH PROFESSIONALS |
| Practice Address |
4015 S Cobb Dr Se Suite 115 Smyrna GA 30080-6303 |
| Practice Telephone | 7704312354 |
| Practice Fax Number | 7704367143 |
| Mailing Telephone | 7704312354 |
| Mailing Fax Number | 7704367143 |
| Enumeration Date | 2016-03-07 |
| Last Update Date | 2017-08-09 |
| Authorized Official Name | MRS. ASHLEY NICHOLS TAGTACHIAN (ADMINISTRATOR) |
| Authorized Official Telephone | 7705482589 |
| Is Organization Subpart | Y |
| Parent Organization Name | PERSONAL RECOVERY NETWORK LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP2500X |
Counselor Specialization: Professional |
Behavioral Health & Social Service Providers | ||
| Y | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Georgia Behavioral Health Professionals | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
| 1700245891 | Personal Recovery Network LLC | Counselor | 250 Corporate Center Ct, Stockbridge, GA 30281-6388 | 2016-02-17 |
| 1598124695 | Personal Recovery Network LLC | Counselor | 5965 Parkway North Blvd, Suite C, Cumming, GA 30040-1430 | 2016-02-17 |
| 1831558931 | Personal Recovery Network LLC | Counselor | 1640 Powers Ferry Rd Se, Bldg 9 Suite 330, Marietta, GA 30067-5491 | 2016-02-17 |
| 1912366014 | Personal Recovery Network LLC | Counselor | 6385 Mcginnis Ferry Rd, Suite 202, Johns Creek, GA 30005-3621 | 2016-02-17 |
| 1699132951 | Personal Recovery Network LLC | Psychiatry & Neurology | 5775 Peachtree Dunwoody Rd, C200, Atlanta, GA 30342-1556 | 2016-01-18 |
| 1023356458 | Personal Recovery Network LLC | Counselor | 1640 Powers Ferry Rd Se, Building 9, Suite 100, Marietta, GA 30067-5491 | 2013-01-18 |
| 1881990869 | Personal Recovery Network LLC | Counselor | 250 Corporate Center Ct, Stockbridge, GA 30281 | 2011-02-08 |
| Street Address |
4015 S COBB DR SE SUITE 115 |
| City | SMYRNA |
| State | GA |
| Zip Code | 30080-6303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083617351 | Carlton D Haggard | Social Worker | 4015 S Cobb Dr Se, Ste 4, Smyrna, GA 30080-6315 | 2005-05-31 |
| 1417414632 | Mike Phillips LLC | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-24 |
| 1629534896 | Michael C Phillips | Counselor | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2019-02-13 |
| 1902358146 | Hannah Jay Sabella | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 250, Smyrna, GA 30080-6303 | 2016-11-03 |
| 1124470729 | Richard Charles Lie-nielsen | Counselor | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-07-07 |
| 1508216136 | Jason Rhoads | Counselor | 4015 S Cobb Dr Se, Suite 1, Smyrna, GA 30080-6303 | 2016-06-14 |
| 1962850446 | Brenda Terry | Physician Assistant | 4015 S Cobb Dr Se, Suite 115, Smyrna, GA 30080-6303 | 2016-05-25 |
| 1669833448 | Christine Engstrom | Dietitian, Registered | 4015 S Cobb Dr Se, Suite 260, Smyrna, GA 30080-6303 | 2016-03-08 |
| 1841650538 | Personal Recovery Network LLC | Internal Medicine | 4015 S Cobb Dr Se, Smyrna, GA 30080-6303 | 2016-02-24 |
| 1154728780 | Cobb Counseling Center Inc | Social Worker | 4015 S Cobb Dr Se, Suite 4, Smyrna, GA 30080-6303 | 2014-11-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881205169 | Suny Varughese | Nurse Practitioner | Minute Clinic, 2994 Atlanta Rd, Se, Smyrna, GA 30080 | 2020-08-11 |
| 1891287645 | Provident Group - Creekside Properties LLC | Alzheimer Center (Dementia Center) | 4838 South Cobb Drive, Smyrna, GA 30080 | 2018-06-06 |
| 1710490743 | Alina Rim | Registered Nurse | 4532 Chelton Ct Se, Smyrna, GA 30080 | 2017-11-13 |
| 1932626488 | Richard Kyle Davis | Pharmacist | 2955 Atlanta Rd Se, Smyrna, GA 30080 | 2017-08-25 |
| 1982071163 | Amelia Rafaela Turrubiates-huacuja | Counselor | 1246-c Concord Rd, Suite 101, Smyrna, GA 30080 | 2015-08-24 |
| 1275919755 | Anne Waldner Rohling | Physical Therapist | 1155 Concord Rd Se Ste 210, Smyrna, GA 30080 | 2015-08-06 |
| 1790167856 | Kay Yetunde Johnson | Nurse Practitioner | 3001 Lusk Dr, Smyrna, GA 30080 | 2015-06-25 |
| 1689055436 | Anew You Couneling, LLC | Community/Behavioral Health | 3188 Atlanta Rd, Smyrna, GA 30080 | 2015-06-17 |
| 1457766370 | Trondi Jerry | Counselor | 3381 Atlanta Rd Se, Smyrna, GA 30080 | 2014-06-30 |
| 1093081903 | Ashish Kapila | Podiatrist | Wellstar Podiatry, 4441 Atlanta Rd Se Suite 215, Smyrna, GA 30080 | 2012-03-25 |
| Find all providers in zip 30080 | ||||
| Taxonomy Code | 2084P0800X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Psychiatry |
| A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment disorders. Biologic, psychological, and social components of illnesses are explored and understood in treatment of the whole person. Tools used may include diagnostic laboratory tests, prescribed medications, evaluation and treatment of psychological and interpersonal problems with individuals and families, and intervention for coping with stress, crises, and other problems. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669016952 | Smyrna Psychiatry LLC | Psychiatry & Neurology | 713 President Pl Ste A, Smyrna, TN 37167-5652 | 2019-10-30 |
| 1821576695 | W. Theron Mclarty Md PC | Psychiatry & Neurology | 4015 S Cobb Dr Se Ste 110b, Smyrna, GA 30080-6303 | 2018-08-02 |
| 1720355530 | John Scott Carman | Psychiatry & Neurology | 4015 S Cobb Dr Se Ste 245, Smyrna, GA 30080-6374 | 2011-11-22 |
| 1851698906 | Morgan Psychiatry, LLC | Psychiatry & Neurology | 3200 Highlands Pkwy Se Ste 400, Smyrna, GA 30082-5192 | 2011-02-24 |
| 1962659391 | Arun Kumar Kantamneni | Psychiatry & Neurology | 3995 South Cobb Dr Se, Suite 296, Smyrna, GA 30080 | 2008-08-27 |
| 1407079122 | Alpharetta Psychiatric Services | Psychiatry & Neurology | 4015 South Cobb Drive Se, Suite 140, Smyrna, GA 30080 | 2007-04-11 |
| 1255486692 | Family Behavioral Center P.C. | Psychiatry & Neurology | 4015 S Cobb Dr Se Ste 101, Smyrna, GA 30080-6315 | 2007-01-24 |
| 1497856777 | Bharatkumar C Patel | Psychiatry & Neurology | 4015 S Cobb Dr Se Ste 110, Smyrna, GA 30080-6316 | 2006-09-26 |
| 1588767909 | Karl S Mihalovits | Psychiatry & Neurology | 4015 South Cobb Dr, #115, Smyrna, GA 30080 | 2006-09-07 |
| 1053423244 | John Bennett Lochridge | Psychiatry & Neurology | 3050 Atlanta Rd Se, Smyrna, GA 30080-8255 | 2006-08-31 |
| Find all providers in SMYRNA | ||||
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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.