ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC (NPI# 1932611688) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1932611688 |
Entity Type | Organization |
Organization Name | ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, LLC |
Practice Address |
1755 North Brown Road, Suite 200 Lawrenceville GA 30043 |
Practice Telephone | 7707873788 |
Practice Fax Number | 7707865159 |
Mailing Telephone | 7707873788 |
Mailing Fax Number | 7707865159 |
Enumeration Date | 2017-11-02 |
Last Update Date | 2017-11-02 |
Authorized Official Name | ANGELA CLARK (CEO/OWNER) |
Authorized Official Telephone | 7707873788 |
Authorized Official Credential | CEO/MBA |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
N | 251B00000X | Case Management | Agencies | ||
N | 251S00000X | Community/Behavioral Health | Agencies | ||
N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | 942032473A | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1508051178 | Asfc Outreach Therapeutic Counseling Services, LLC | Case Management | 4146 Highway 278 Ne, Covington, GA 30014-2494 | 2007-09-07 |
Street Address |
1755 NORTH BROWN ROAD, SUITE 200 |
City | LAWRENCEVILLE |
State | GA |
Zip Code | 30043 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609483882 | Brittany Javier Dunn | Counselor | 2387 Lawrenceville Huntcrest Way, Lawreneville, GA 30043 | 2020-09-30 |
1629614037 | Terrea Gina Bridges | Behavior Technician | 2387 Huntcrest Rd, Lawrenceville, GA 30043 | 2019-11-20 |
1215581756 | Elegant Lm Management, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1020 Meadowsong Circle, Lawrenceville, GA 30043 | 2019-08-01 |
1093299778 | Shareef Nahas | Clinical Medical Laboratory | 1130 Hurricane Shoals Rd, Suite 1800, Lawrenceville, GA 30043 | 2018-09-19 |
1649766874 | Nutritionecw LLC | Dietitian, Registered | 1755 North Brown Rd, Ste.200, Lawrenceville, GA 30043 | 2018-07-11 |
1962997965 | David Le Nguyen | Dentist | 2000 Riverside Pkwy Ste 200, Lawrenceville, GA 30043 | 2018-06-22 |
1518486810 | Shira Brey Williams | Specialist/Technologist | 1030 Collins Hill Rd, Lawrenceville, GA 30043 | 2017-09-18 |
1700300795 | Nympha J. Mathurin Meadows | Behavioral Analyst | 650 Oxford Crest Ct, Lawrenceville, GA 30043 | 2017-08-01 |
1992245591 | Jagruti Chaudhari | Nurse Practitioner | 855 Buford Drive, Lawrenceville, GA 30043 | 2017-03-01 |
1962949628 | Rebekah Snow | Behavioral Analyst | 2387 Huntcrest Way, Lawrenceville, GA 30043 | 2017-01-19 |
Find all providers in zip 30043 |
Taxonomy Code | 261QC1500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Community Health |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487887055 | R.t.alexander, PC | Clinic/Center | 1980 Riverside Pkwy Ste 101, Lawrenceville, GA 30043-5943 | 2009-08-31 |
1942834411 | Pregnancy Resource Center of Gwinnett | Clinic/Center | 565 Old Norcross Rd, Suite 200, Lawrenceville, GA 30046 | 2020-02-24 |
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1508494519 | Solvent LLC | Clinic/Center | 104 Brandon Way, Byron, GA 31008-5433 | 2020-03-27 |
1275178683 | Lezthon Homecare Inc | Clinic/Center | 2884 Snapfinger Mnr, Decatur, GA 30035-4167 | 2019-11-08 |
1023650231 | Tony Moses | Clinic/Center | 4650 Dawn Ct, Columbus, GA 31907-6655 | 2019-10-09 |
1174183172 | Your Choice Home Care LLC | Clinic/Center | 3326 Madison Ridge Trl, Snellville, GA 30039-6815 | 2019-06-20 |
1700357878 | The Shafiq Group | Clinic/Center | 910 Athens Hwy Ste K245, Loganville, GA 30052-4952 | 2018-12-16 |
1518477157 | Choosing Independence Inc | Clinic/Center | 115 Martin Luther King Jr Dr Sw Ste 225-102, Atlanta, GA 30303-3536 | 2017-10-10 |
1295256857 | Brittany Carter Lcsw LLC | Clinic/Center | 5000 Austell Powder Springs Rd Ste 283-1, Austell, GA 30106-2442 | 2017-07-03 |
1922539725 | Mpowerr Health & Wellness of Atlanta Inc. | Clinic/Center | 3616 Ginnis Rd Sw Unit 2, Atlanta, GA 30331-8574 | 2017-03-23 |
1093172652 | M D Whitest Medical Institute Inc | Clinic/Center | 401 N 15th St, Cordele, GA 31015-2932 | 2016-01-26 |
Find all providers with the same taxonomy |
City | LAWRENCEVILLE |
Zip Code | 30043 |
Please comment or provide details below to improve the information on ASFC OUTREACH THERAPEUTIC COUNSELING SERVICES, 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.