Transcendence Child and Family Therapy

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW004244 Issued in GA

Legal business name

TRANSCENDENCE CHILD AND FAMILY THERAPY

Practice address

120 Carnegie PL Ste 202
Fayetteville, GA 30214-7915

Phone

(404) 988-9177

NPI assigned

Mar 12, 2018

Last updated

May 4, 2018By 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

Ryan Sutton

Title

Owner

Phone

(404) 988-9177

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1520812800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525392000000",
    "number": "1033612460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "120 CARNEGIE PL",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 CARNEGIE PL STE 202",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147915",
            "telephone_number": "404-988-9177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSCENDENCE CHILD AND FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-12",
        "last_updated": "2018-05-04",
        "status": "A",
        "authorized_official_last_name": "SUTTON",
        "authorized_official_first_name": "RYAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-988-9177"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW004244",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Fayetteville, GA
• Providers in Fayetteville, 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 May 4, 2018; 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.