Organization Active NPI

Clear Minds Family Center Georgia LLC

  • Clinical Social Worker
  • Dunwoody, GA
National Provider Identifier
1003435371
Registry record updated Jan 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CLEAR MINDS FAMILY CENTER GEORGIA LLC
Practice address
1050 Crown Pointe Pkwy
Dunwoody, GA 30338-7707
Phone
(702) 463-4000
Fax
(702) 463-4460
NPI assigned
Apr 15, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Nastazia GuyNPI 1144598145
Title
Chief Operational Officer
Phone
(702) 809-7855

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

1050 Crown Pointe Pkwy
Dunwoody, GA 30338-7707

Mailing address

7 The Farm Rd
McDonough, GA 30252-5619
Phone (702) 809-7855

National Provider Directory

National Provider Directory

Locations

1050 Crown Pointe Pkwy
Dunwoody, GA 30338
Phone (478) 227-7535

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1586908800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1737072000000",
    "number": "1003435371",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 THE FARM RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302525619",
            "telephone_number": "702-809-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 CROWN POINTE PKWY",
            "city": "DUNWOODY",
            "state": "GA",
            "postal_code": "303387707",
            "telephone_number": "702-463-4000",
            "fax_number": "702-463-4460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAR MINDS FAMILY CENTER GEORGIA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-15",
        "last_updated": "2025-01-17",
        "certification_date": "2025-01-17",
        "status": "A",
        "authorized_official_last_name": "GUY",
        "authorized_official_first_name": "NASTAZIA",
        "authorized_official_title_or_position": "CHIEF OPERATIONAL OFFICER",
        "authorized_official_telephone_number": "702-809-7855"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunwoody, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.