Concentric Behavioral Health Services LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW-004817 Issued in GA

Legal business name

CONCENTRIC BEHAVIORAL HEALTH SERVICES LLC

Practice address

1246 Concord Rd SE Ste 203
Smyrna, GA 30080-4394

Phone

(404) 491-0299

Fax

(404) 369-1838

NPI assigned

Jan 6, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Lee Anderson Smith Jr., LCSW

Title

Owner/Therapist

Phone

(404) 491-0299

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1420502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596585600000",
    "number": "1013305523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 COLONIAL HOMES DR NW UNIT 2209",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091624",
            "telephone_number": "678-799-9900",
            "fax_number": "404-369-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1246 CONCORD RD SE STE 203",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804394",
            "telephone_number": "404-491-0299",
            "fax_number": "404-369-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONCENTRIC BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-01-06",
        "last_updated": "2020-08-05",
        "certification_date": "2020-08-05",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LEE",
        "authorized_official_middle_name": "ANDERSON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "404-491-0299",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW-004817",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2020; 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.