Atlanta Premier Tutoring LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC004463 Issued in GA

Legal business name

ATLANTA PREMIER TUTORING LLC

Practice address

5966 Princeton Run TRL
Tucker, GA 30084-8461

Phone

(347) 513-4303

NPI assigned

Mar 27, 2017

Last updated

Mar 27, 2017By 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

Willie Cameron, LPC

Title

Director of Behavioral Health

Phone

(770) 558-2147

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1490572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1490572800000",
    "number": "1033640495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5966 PRINCETON RUN TRL",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848461",
            "telephone_number": "347-513-4303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5966 PRINCETON RUN TRL",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300848461",
            "telephone_number": "347-513-4303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA PREMIER TUTORING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-27",
        "last_updated": "2017-03-27",
        "status": "A",
        "authorized_official_last_name": "CAMERON",
        "authorized_official_first_name": "WILLIE",
        "authorized_official_title_or_position": "DIRECTOR OF BEHAVIORAL HEALTH",
        "authorized_official_telephone_number": "770-558-2147",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC004463",
            "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 Mar 27, 2017; 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.