LIFE COMPASS MENTAL HEALTH SERVICES, LLC (NPI# 1700491172) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700491172 |
| Entity Type | Organization |
| Organization Name | LIFE COMPASS MENTAL HEALTH SERVICES, LLC |
| Practice Address |
300 Colnl Ctr Pkwy Ste 100n Roswell GA 30076-4892 |
| Practice Telephone | 6782529184 |
| Mailing Telephone | 6782529184 |
| Enumeration Date | 2020-09-12 |
| Last Update Date | 2020-09-12 |
| Authorized Official Name | JIKESHA RENEE BENTON (CLINICAL PSYCHOLOGIST) |
| Authorized Official Telephone | 6782529184 |
| Authorized Official Credential | PSY.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| Street Address |
300 COLNL CTR PKWY STE 100N |
| City | ROSWELL |
| State | GA |
| Zip Code | 30076-4892 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689275505 | Apex Spine and Neurosurgery LLC | Neurological Surgery | 1295 Hembree Rd Ste 200 Bldg B, Roswell, GA 30076 | 2020-11-06 |
| 1841776689 | Scott Gunter Brunson | Hearing Instrument Specialist | 777 Old Roswell Pl # E100, Roswell, GA 30076 | 2018-07-16 |
| 1861998197 | Daniel B Charek | Clinical Neuropsychologist | 11685 Alpharetta Hwy Ste 170, Roswell, GA 30076 | 2018-04-04 |
| 1427575554 | A One Home Care, Inc. | In Home Supportive Care | 1875 Old Alabama Road, Suite 420, Roswell, GA 30076 | 2017-08-29 |
| 1053836023 | Madelon Morgan | Counselor | 555 Sun Valley Dr Bldg F, Roswell, GA 30076 | 2017-08-10 |
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1093163750 | Ryann Soutar | Counselor | 702 Macy Dr, Roswell, GA 30076 | 2016-06-02 |
| 1447618707 | Concierge Medical Mgmt Group | Contractor | 760 Old Roswell Rd Ste 117, Roswell, GA 30076 | 2016-02-02 |
| 1063877710 | Augustine Young | Community/Behavioral Health | 427 Royal Creek Dr, Roswell, GA 30076 | 2015-12-23 |
| 1710360441 | Currents Massage LLC | Massage Therapist | 760 Old Roswell Road, Suite 230, Roswell, GA 30076 | 2015-06-30 |
| Find all providers in zip 30076 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245769637 | Family Behavioral Health, LLC | Clinic/Center | 9275 Martin Rd, Roswell, GA 30076 | 2017-06-08 |
| 1114979747 | Counseling Associates Inc | Clinic/Center | 110 E Mescalero, Roswell, NM 88201 | 2006-05-16 |
| 1194330449 | Groundbreaking Guidance Services, LLC | Clinic/Center | 500 Sun Valley Dr Ste G3, Roswell, GA 30076-5639 | 2020-09-14 |
| 1194203984 | Nancy Aranson, Lcsw, LLC | Clinic/Center | 601 Bombay Ln, Roswell, GA 30076-5828 | 2018-08-02 |
| 1588685457 | New Mexico Psychiatric Services Corporation | Clinic/Center | 1700 N Union Ave, Roswell, NM 88201-3267 | 2006-07-23 |
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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.