FIRST BAPTIST CHURCH OF WOODSTOCK, INC (NPI# 1962976696) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1962976696 |
| Entity Type | Organization |
| Organization Name | FIRST BAPTIST CHURCH OF WOODSTOCK, INC |
| Practice Address |
3380 Trickum Rd Bldg 700, Suite 100 Woodstock GA 30188 |
| Mailing Address |
3380 Trickum Rd Bldg 700 Suite 100 Woodstock GA 30188-3680 |
| Practice Telephone | 7705914770 |
| Mailing Telephone | 7705914770 |
| Mailing Fax Number | 7705923120 |
| Enumeration Date | 2019-01-16 |
| Last Update Date | 2019-01-16 |
| Authorized Official Name | MR. JAMES WILLIAM EUBANKS (DIRECTOR OF COUNSELING) |
| Authorized Official Telephone | 7705914770 |
| Authorized Official Credential | LMFT, LPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
| Street Address |
3380 TRICKUM RD BLDG 700, SUITE 100 |
| City | WOODSTOCK |
| State | GA |
| Zip Code | 30188 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063403087 | Scott Mitchell Cohen | Podiatrist | 3380 Trickum Rd, Bldg. 900-100, Woodstock, GA 30188-3680 | 2005-10-31 |
| 1952568396 | Meredith Burns | Psychologist | 3380 Trickum Rd, Building 1000, Suite 102, Woodstock, GA 30188-3680 | 2008-05-22 |
| 1508043712 | Charles Phillip Callihan Sr. | Pharmacist | 3380 Trickum Rd, Bldg. 500, 104, Woodstock, GA 30188-3680 | 2008-01-30 |
| 1114104320 | Robyn Anderson Lorys | Pharmacist | 3380 Trickum Rd, 500-104, Woodstock, GA 30188-3680 | 2008-01-30 |
| 1689861387 | Victor Gonzalez Jr. | Psychologist | 3380 Trickum Rd, Building 1000, Suite 102, Woodstock, GA 30188-3680 | 2007-09-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730715814 | Tyler Rose | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 116 South Mill Creek Court, Woodstock, GA 30188 | 2020-03-20 |
| 1881224897 | Dr. Tom LLC | Clinic/Center | 5431 Old Highway 5 Ste 206, Holly Springs, GA 30188 | 2020-01-17 |
| 1467090175 | Stacey Robin Hill | Dietitian, Registered | 210 Mcaffee St, Street Address 2, Woodstock, GA 30188 | 2019-12-12 |
| 1326681784 | Margo Vanderveen | Massage Therapist | 605 Old Hickory Road, Woodstock, GA 30188 | 2019-10-17 |
| 1275093437 | Rebekah Ruth Tchouta | Social Worker | 5166 Shotwell St, Woodstock, GA 30188 | 2019-03-23 |
| 1205395829 | Angela M Graves | Behavior Technician | 3229 S Cherokee Ln Ste 1400, Woodstock, GA 30188 | 2019-03-13 |
| 1396233391 | Costco Wholesale Corporation | Hearing Aid Equipment | 113 Lincoln Street, Woodstock, GA 30188 | 2018-04-25 |
| 1659878080 | Alexis K. Brown | Counselor | 3380 Trickum Rd., Bldg 700, Woodstock, GA 30188 | 2018-04-11 |
| 1427555440 | Lisa Marie Anthony | Specialist/Technologist | 400 Arnold Mill Rd, Woodstock, GA 30188 | 2018-04-06 |
| 1497254122 | J.a.h. Enterprises, LLC | Audiologist | 12195 Hwy. 92, Suite 114-325, Woodstock, GA 30188 | 2018-02-08 |
| Find all providers in zip 30188 | ||||
| Taxonomy Code | 261QM0850X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adult Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104437987 | Mimi Mcdonald LLC | Clinic/Center | 408 Creekstone Rdg, Woodstock, GA 30188-3740 | 2020-08-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700491172 | Life Compass Mental Health Services, LLC | Clinic/Center | 300 Colnl Ctr Pkwy Ste 100n, Roswell, GA 30076-4892 | 2020-09-12 |
| 1396353884 | Atlanta Mental Wellness LLC | Clinic/Center | 1535 Mount Vernon Rd Ste B, Dunwoody, GA 30338-4149 | 2020-07-21 |
| 1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
| 1841808060 | By Grace Counseling LLC | Clinic/Center | 100 Hemingway Ln, Roswell, GA 30075-7024 | 2020-07-14 |
| 1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
| 1164055455 | New Perspectives Psychotherapy LLC | Clinic/Center | 10 N Clarendon Ave Ste B, Avondale Estates, GA 30002-1165 | 2020-02-15 |
| 1982234423 | All About You Counseling, LLC | Clinic/Center | 150 Prospect Pl, Alpharetta, GA 30005-5445 | 2020-01-23 |
| 1295372225 | Mental Space LLC | Clinic/Center | 4210 Columbia Rd Unit D, Martinez, GA 30907-0401 | 2019-12-10 |
| 1225679921 | Jacqueline Pickett Parrish | Clinic/Center | 3511 Willow Tree Trce, Decatur, GA 30034-3842 | 2019-10-03 |
| 1265082341 | Serene Concepts PC | Clinic/Center | 500 Lanier Ave W Ste 801g, Fayetteville, GA 30214-7642 | 2019-09-19 |
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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.