Mauvescape LLC

Primary specialty

Clinical PsychologistTaxonomy code 103TC0700X

License

PSY003998 Issued in GA

Legal business name

MAUVESCAPE LLC

Practice address

675 Seminole Ave NE Ste 307
Atlanta, GA 30307-3416

Phone

(678) 701-9559

NPI assigned

Aug 14, 2014

Organization subpart

No

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

Authorized official

Name

Dr. Chantea D Williams, PH.D.

Title

Owner

Phone

(678) 701-9559

Specialties & licenses 1

Addresses

Other names 1

• Mauvescape Doing business as

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

{
    "created_epoch": "1407974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1033518048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE STE 307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073416",
            "telephone_number": "678-701-9559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 SEMINOLE AVE NE STE 307",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303073416",
            "telephone_number": "678-701-9559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUVESCAPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-08-14",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "CHANTEA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-701-9559",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "PSY003998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mauvescape",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mikalah Maury
• Anar Desai Maurya, O.D.
• Vaibhav Maurya, MD
• Caroline Maust, AGACNP-BC
• Kenneth R Mautner, MD
• Tanushri Mahesh Mavinahally, M.D.
• Juliet Kottak Mavromatis, M.D.
• Stephanie Mawyer, OTR/L
• Joanne Max, PH.D.
• Russell C Maxa, M.D.

• Clinical Psychologist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.