CHANGE AGENTS COUNSELING & CONSULTING, LLC (NPI# 1821546995) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821546995 |
| Entity Type | Organization |
| Organization Name | CHANGE AGENTS COUNSELING & CONSULTING, LLC |
| Practice Address |
5115 Chastleton Dr Stone Mountain GA 30087-1443 |
| Mailing Address |
Po Box 1048 Tucker GA 30085-1048 |
| Practice Telephone | 4042079359 |
| Mailing Telephone | 4042079359 |
| Enumeration Date | 2016-09-16 |
| Last Update Date | 2016-09-16 |
| Authorized Official Name | MRS. KARRIA L JAMES (OWNER) |
| Authorized Official Telephone | 4042079359 |
| Authorized Official Credential | LCSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| Street Address |
5115 CHASTLETON DR |
| City | STONE MOUNTAIN |
| State | GA |
| Zip Code | 30087-1443 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174071245 | Karria James | Social Worker | 5115 Chastleton Dr, Stone Mountain, GA 30087-1443 | 2016-09-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176394 | Optimal Choice Telehealth | General Practice | 1227 Rockbidge Rd Sw, Ste 208-354, Stone Mountain, GA 30087 | 2020-05-27 |
| 1245882943 | Lynell Williams | Counselor | 505 Lilburn-stone Mountain Road, Suite 235, Stone Mountain, GA 30087 | 2019-07-12 |
| 1003302688 | Mark Andrew Stevens | Physical Therapist | 1227 Rockbridge Rd Ste 402, Stone Mountain, GA 30087 | 2018-07-06 |
| 1154816825 | Tuan Minh Khong | Physician Assistant | 6301 Southland Rdg, Stone Mountain, GA 30087 | 2018-06-26 |
| 1215429881 | Stephanie Martin | Nurse Practitioner | 2720 S Rockbridge Rd, Stone Mountain, GA 30087 | 2018-05-30 |
| 1578979381 | Edmund Thomas Jr. | Dentist | 2536 Rockbridge Rd Ste 103, Stone Mountain, GA 30087 | 2014-07-02 |
| 1790027688 | Robert Fanning Eaves Jr. | General Practice | 5394 Leatherstocking Lane, Stone Mountain, GA 30087 | 2013-03-19 |
| 1609128917 | Mary Marlene Muse | Lactation Consultant, Non-RN | 510 Navarre Drive, Stone Mountain, GA 30087 | 2012-10-10 |
| 1457680704 | Cleo Evans | Counselor | 5638 Manassas Run, Stone Mountain, GA 30087 | 2009-12-16 |
| 1932348521 | Lawrence Randy Sheber | Dentist | 5500-a Lilburn Stone Mountain Road, Stone Mountain, GA 30087 | 2009-02-05 |
| Find all providers in zip 30087 | ||||
| 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 |
|---|---|---|---|---|
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1457908303 | Arms Wide Open | Community/Behavioral Health | 871 Forest Path, Stone Mountain, GA 30088-2245 | 2019-08-23 |
| 1881077659 | Latisha Mcwilliams | Community/Behavioral Health | 4346 Crestridge Ln, Stone Mountain, GA 30083-6104 | 2015-06-29 |
| 1891174256 | Andrea Teresa Ashe | Community/Behavioral Health | 4666 Randalwood Dr, Stone Mountain, GA 30083-4350 | 2015-05-19 |
| 1841600871 | Diversified Counseling & Counsulting | Community/Behavioral Health | 490 S Stone Mtn Lithonia Rd, 88, Stone Mountain, GA 30088-1532 | 2014-04-29 |
| 1992128995 | New Progressions of Georgia, LLC | Community/Behavioral Health | 1298 Rockbridge Rd, Suite D, Stone Mountain, GA 30087-3000 | 2014-01-27 |
| 1962824466 | Ican Think Positive Counseling and Coaching Services | Community/Behavioral Health | 5405 Memorial Dr Bldg C, Stone Mountain, GA 30083-3234 | 2014-01-17 |
| 1194158253 | The Counseling Healing Center, LLC | Community/Behavioral Health | 5300 Memorial Dr Ste 141, Stone Mountain, GA 30083-3155 | 2013-08-13 |
| 1639515992 | Serenity Candles & Soaps, Inc. | Community/Behavioral Health | 1872 Chedworth Ln, Stone Mountain, GA 30087-2121 | 2013-05-14 |
| 1295075323 | Gentia Behavioral Health Systems Inc. | Community/Behavioral Health | 5468 Memorial Dr, Suite D, Stone Mountain, GA 30083-3267 | 2013-02-27 |
| Find all providers in STONE MOUNTAIN | ||||
| City | STONE MOUNTAIN |
| Zip Code | 30087 |
Please comment or provide details below to improve the information on CHANGE AGENTS COUNSELING & CONSULTING, 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.