CULTIVATING R.O.O.T.S., LLC (NPI# 1841826658) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1841826658 |
| Entity Type | Organization |
| Organization Name | CULTIVATING R.O.O.T.S., LLC |
| Practice Address |
6045 Atlantic Blvd Ste 108 Norcross GA 30071-1332 |
| Practice Telephone | 7062312008 |
| Practice Fax Number | 8004199018 |
| Mailing Telephone | 7062312008 |
| Mailing Fax Number | 8004199018 |
| Enumeration Date | 2020-03-13 |
| Last Update Date | 2020-03-13 |
| Authorized Official Name | DR. TIFFANY C POPE (LICENSED PROFESSIONAL COUNSELOR) |
| Authorized Official Telephone | 7062312008 |
| Authorized Official Credential | PHD, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1265 Interstate Pkwy Ste B, Augusta, GA 309096481 | 7062312008 | 8004199018 |
| Street Address |
6045 ATLANTIC BLVD STE 108 |
| City | NORCROSS |
| State | GA |
| Zip Code | 30071-1332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356792519 | Tiffany Pope | Counselor | 6045 Atlantic Blvd Ste 108, Norcross, GA 30071 | 2016-06-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477199867 | 1st Senior Cares, LLC | Home Health | 7116 Peachtree Industrial Blvd. Bldg. 4, Ste. B, Peachtree Corners, GA 30071 | 2019-11-21 |
| 1124660048 | Phil Scafidi | Massage Therapist | 50 Skin Alley, Norcross, GA 30071 | 2019-10-11 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1407318389 | 1st Senior Homecare, LLC | Home Health | 7116 Peachtree Industrial Blvd., Bldg 4 Suite A, Peachtree Corners, GA 30071 | 2019-04-01 |
| 1982163689 | Jk Acupuncture LLC | Acupuncturist | 5390 Peachtree Industrial Bl #101, Norcross, GA 30071 | 2019-03-13 |
| 1063990778 | First Senior Center | Clinic/Center | 7116 Peachtree Industrial Blvd, Bldg 4, Peachtree Corners, GA 30071 | 2018-08-03 |
| 1952896904 | Sonal P Patel | Physical Therapy Assistant | 4709 Peachtree Ind Blvd, Suite 106, Norcross, GA 30071 | 2018-06-22 |
| 1700392354 | Medlink Ems Inc | Ambulance | 6825 Jimmy Carter Blvd Ste 1303, Norcross, GA 30071 | 2017-12-19 |
| 1205377975 | David Kalisz II | Specialist/Technologist, Other | 1880 Beaver Ridge Circle Suite D, Norcross, GA 30071 | 2017-03-15 |
| 1750742896 | Angel Mccleave | Specialist/Technologist, Other | 1880 Beaver Ridge Circle, Suite D, Norcross, GA 30071 | 2016-03-17 |
| Find all providers in zip 30071 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164021259 | Miracles Outreach International | Counselor | 6825 Jimmy Carter Blvd Ste 1570b, Norcross, GA 30071-1215 | 2020-10-20 |
| 1063071454 | Kenanesha Owens | Counselor | 3040 Holcolmb Bridge Rd Suite J2, Norcross, GA 30071 | 2019-06-10 |
| 1629636527 | Glendia Rashaun Dunkin | Counselor | 3040 Holcomb Bridge Rd Ste J2, Norcross, GA 30071-1357 | 2019-06-05 |
| 1770067498 | Juanese Moore | Counselor | 6024 Old Town Pl, Norcross, GA 30093-5030 | 2018-09-18 |
| 1891201091 | Yewande Tomilola Adewole | Counselor | 3785 Elmside Village Ln, Norcross, GA 30092-4867 | 2017-12-26 |
| 1558893065 | Toni Buchanan | Counselor | 5825 Live Oak Pkwy Ste 2b, Norcross, GA 30093-1728 | 2017-04-03 |
| 1134673197 | Joi Bythwood | Counselor | 5785 Hammond Dr, Norcross, GA 30071-3407 | 2016-08-08 |
| 1447602750 | Patricia Christina Thompson | Counselor | 3450 Jones Mill Rd, Apt 315, Norcross, GA 30092-4370 | 2016-07-11 |
| 1922456318 | Diana Lleras | Counselor | 6020 Dawson Bld Suite I, Norcross, GA 30093 | 2016-05-26 |
| 1689044737 | Flora Jean Morris | Counselor | 4300 Jimmy Carter Blvd, 707, Norcross, GA 30093-5058 | 2015-10-01 |
| Find all providers in NORCROSS | ||||
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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.