SYCAMORE WELLNESS GROUP, LLC (NPI# 1942795836) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942795836 |
| Entity Type | Organization |
| Organization Name | SYCAMORE WELLNESS GROUP, LLC |
| Practice Address |
5400 Lawrenceville Hwy Nw Ste E3 Lilburn GA 30047-5956 |
| Practice Telephone | 4045030701 |
| Practice Fax Number | 4045371947 |
| Mailing Telephone | 4045030701 |
| Mailing Fax Number | 4045371947 |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2018-06-25 |
| Authorized Official Name | DR. JAMIE GYNETTE CROSS LEE (CEO) |
| Authorized Official Telephone | 4045030701 |
| Authorized Official Credential | PH.D., LPC, EAS- |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | LPC004217 | GA | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 501854029A | 05 |
| Street Address |
5400 LAWRENCEVILLE HWY NW STE E3 |
| City | LILBURN |
| State | GA |
| Zip Code | 30047-5956 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619933645 | Jamie Gynette Cross-lee | Counselor | 5400 Lawrenceville Hwy Nw Ste E3, Lilburn, GA 30047 | 2006-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750861217 | Latrina S Walden | Nurse Practitioner | 887 Ryan Lane, Lilburn, GA 30047 | 2018-08-15 |
| 1811483928 | Olivia Oyegunle | Optometrist | 4153 Lawrenceville Hwy Nw Ste 5, Lilburn, GA 30047 | 2018-07-02 |
| 1932619285 | Mpm Creative, LLC | Speech-Language Pathologist | 1560 Hewatt Rd, Lilburn, GA 30047 | 2017-10-01 |
| 1528515186 | Smith Dental Care of Lilburn, Inc. | Dentist | 3100 Five Forks Trickham Rd Suite 201, Lilburn, GA 30047 | 2016-09-01 |
| 1891143244 | Choices Behavioral Alternatives | Counselor | 4037 Darling Court, Suite B, Lilburn, GA 30047 | 2016-05-26 |
| 1235595687 | Georgia Dental Associates | Clinic/Center | 3100 Five Forks Trickum Road Suite 201, Lilburn, GA 30047 | 2016-01-14 |
| 1912382144 | Sangeetha Asokan | Dentist | 609, Beaver Ruin Road, Tebo Dental for Kids, Lilburn, GA 30047 | 2015-07-29 |
| 1467836403 | Pamela Neal | Registered Nurse | 3315 Landingview Ct, Lilburn, GA 30047 | 2015-07-18 |
| 1699172452 | Josie Kou, Kulah Curran | Registered Nurse | 3708 Tamer Ln, Lilburn, GA 30047 | 2014-11-21 |
| 1184039380 | Cheryl Lee | Chiropractor | 5014 Stone Mountain Hwy, Suite C, Lilburn, GA 30047 | 2014-06-25 |
| Find all providers in zip 30047 | ||||
| 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 |
|---|---|---|---|---|
| 1578105144 | All and All Behavioral Health Services LLC | Community/Behavioral Health | 912 Killian Hill Rd Sw Ste 103b, Lilburn, GA 30047-8976 | 2019-10-15 |
| 1922481191 | Oasis Ministries LLC | Community/Behavioral Health | 203 Abri Pl Sw, Lilburn, GA 30047-6402 | 2015-07-06 |
| 1992128441 | Yaasmeen Rhett Nyjah | Community/Behavioral Health | 4370 Lawrenceville Hwy Nw Unit 2144, Lilburn, GA 30048-4985 | 2014-02-03 |
| 1497178594 | Rising Hope Clinical Assistance LLC | Community/Behavioral Health | 4634 Lawrenceville Hwy Nw Ste 200, Lilburn, GA 30047-3685 | 2014-01-24 |
| 1992872618 | Clinical Altenative Resource Associates, LLC | Community/Behavioral Health | 4568 Lawrenceville Hwy Nw, Suite 101, Lilburn, GA 30047-3618 | 2006-11-29 |
| 1780141911 | Entrainment Consulting & Counseling & Education Services, LLC | Community/Behavioral Health | 1025 Killian Hill Rd Sw Ste J, Lilburn, GA 30047-7601 | 2019-02-24 |
| 1669820106 | Early Bird's Aba, LLC | Community/Behavioral Health | 2337 Stone Dr Sw, Lilburn, GA 30047-5717 | 2016-05-25 |
| 1437506664 | Transcend Therapy | Community/Behavioral Health | 3050 Five Forks Trickum Rd Sw, Suite D-531, Lilburn, GA 30047-1810 | 2016-05-18 |
| 1528393592 | Familys Matter Counseling and Psychological Services LLC | Community/Behavioral Health | 4568 Lawrenceville Hwy Nw, Suite 201 C, Lilburn, GA 30047-3618 | 2009-10-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699376160 | Love, Breanna Olivia Zion Enterprise,llc(lboz): | Community/Behavioral Health | 9802 N Ivy Park Dr, Fortson, GA 31808-7130 | 2020-11-02 |
| 1578170882 | Helping Hearts Behavioral Health Services, LLC | Community/Behavioral Health | 504 Hamlet Dr, Hampton, GA 30228-4829 | 2020-09-30 |
| 1982219523 | Future Seekers, Inc. | Community/Behavioral Health | 3475 N. Desert Drive, Building 1, Suite 2100, East Point, GA 30344-3034 | 2020-09-10 |
| 1396359840 | Just Like Family Caregivers | Community/Behavioral Health | 2628 Lovejoy Crossing St, Hampton, GA 30228-5995 | 2020-09-02 |
| 1285247270 | Hudu Yoga & Therapy | Community/Behavioral Health | 3900 Springleaf Ct, Stone Mountain, GA 30083-4692 | 2020-08-28 |
| 1952914632 | Brighter Dayz, Incorporated | Community/Behavioral Health | 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 | 2020-08-24 |
| 1699387688 | Rise Rehabilitation Services, LLC | Community/Behavioral Health | 738 Highland Park Trl, Atlanta, GA 30350-6706 | 2020-08-20 |
| 1104438373 | Pivotal Counseling LLC | Community/Behavioral Health | 75 N Broad St, Winder, GA 30680-1907 | 2020-08-19 |
| 1295347888 | Freemans Early Intervention Services | Community/Behavioral Health | 13 Peach St, Butler, GA 31006 | 2020-08-17 |
| 1861017634 | Trinity Care Counseling | Community/Behavioral Health | 3475 Northwinds Parkway, 200, Alpharetta, GA 30009 | 2020-06-08 |
| Find all providers with the same taxonomy | ||||
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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.