URBAN TEMPLE STUDIO 107 (NPI# 1760823256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1760823256 |
| Entity Type | Organization |
| Organization Name | URBAN TEMPLE STUDIO 107 |
| Practice Address |
1867 Lawrenceville Hwy Decatur GA 30033-5729 |
| Practice Telephone | 4046005624 |
| Mailing Telephone | 4046005624 |
| Enumeration Date | 2013-07-11 |
| Last Update Date | 2013-07-11 |
| Authorized Official Name | QIANA L GORDON (OWNER) |
| Authorized Official Telephone | 4046005624 |
| Authorized Official Credential | LMT |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | 007007 | GA | Agencies |
| Street Address |
1867 LAWRENCEVILLE HWY |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-5729 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548672512 | Bj Med Clinic LLC | Legal Medicine | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2014-05-27 |
| 1417369695 | Stephanie Jones | Specialist | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2014-05-22 |
| 1265844468 | Bj Med Clinic LLC | Legal Medicine | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2014-05-22 |
| 1861802985 | Advanced Health Wellness & Rehab | Rehabilitation Practitioner | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2014-04-28 |
| 1265860472 | Healing Hands LLC | Health Educator | 1867 Lawrenceville Hwy, Decatur, GA 30033-5729 | 2013-10-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942681580 | You and Me Corp | Case Management | One West Court Square, Suite 750, Decatur, GA 30030 | 2015-06-09 |
| 1588002380 | Before&after Supportive Housing Services | Case Management | 1434 Scott Blvd, Decatur, GA 30030-1424 | 2013-06-13 |
| 1982962155 | Terra T. Darrisaw | Case Management | 4526 Yorkdale Dr, Decatur, GA 30035-4253 | 2012-04-25 |
| 1972803021 | Garrett Consulting & Case Mgmt Svc | Case Management | 3013 Rainbow Dr., Suite 112e, Decatur, GA 30034-1644 | 2010-10-22 |
| 1346552478 | Jd Wallace Enterprises | Case Management | 4286 Memorial Dr Ste C, Suite B, Decatur, GA 30032-1221 | 2010-07-06 |
| 1023222627 | Macon County Mental Health Board | Case Management | 132 S Water St, Suite 604, Decatur, IL 62523-1332 | 2007-05-10 |
| 1205979986 | Morgan County Health Dept Epsdt Cm | Case Management | 510 Cherry St Ne, Decatur, AL 35601-1970 | 2007-02-14 |
| 1992847172 | Prairieland Service Coordination Inc | Case Management | 4847 Us Route 36e, Decatur, IL 62521-9736 | 2007-02-13 |
| 1306907431 | Bridges for Families Incorporated | Case Management | 1524 Church St Ste E, Pmb175, Decatur, GA 30030-6500 | 2006-12-13 |
| 1033298005 | North Central Alabama Mental Retardation Authority, Inc. | Case Management | 445 East Moulton Street Ne, Decatur, AL 35602-0597 | 2006-11-02 |
| Find all providers in DECATUR | ||||
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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.