Atlanta Innovative Counseling Center, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ATLANTA INNOVATIVE COUNSELING CENTER, LLC

Practice address

4045 Orchard Rd SE Ste 110
Smyrna, GA 30080-4904

Phone

(770) 293-1950

NPI assigned

May 28, 2019

Last updated

May 28, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Christi Bartolomucci, PH.D.NPI 1750410080

Title

Owner

Phone

(404) 808-3370

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christi Lyn Bartolomucci, PH.D.

  • Psychologist
  • Atlanta, GA
  • NPI 1750410080
  Authorized official Same address or phone

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

{
    "created_epoch": "1559001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1559001600000",
    "number": "1023675865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 ORCHARD RD SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804904",
            "telephone_number": "770-293-1950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 ORCHARD RD SE STE 110",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300804904",
            "telephone_number": "770-293-1950"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA INNOVATIVE COUNSELING CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-28",
        "last_updated": "2019-05-28",
        "status": "A",
        "authorized_official_last_name": "BARTOLOMUCCI",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-808-3370",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2019; 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.