Prodigy Therapeutic Solutions LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

PRODIGY THERAPEUTIC SOLUTIONS LLC

Practice address

2727 Paces Ferry Rd SE # 750
Atlanta, GA 30339-4053

Phone

(470) 965-6726

NPI assigned

Apr 25, 2018

Organization subpart

No

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

Authorized official

Name

Laporshe E SmithNPI 1508354580

Title

Professional Counselor

Phone

(404) 399-4364

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Laporshe Smith

  • Professional Counselor
  • Atlanta, GA
  • NPI 1508354580
  NPD Authorized official

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

{
    "created_epoch": "1524614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1681776000000",
    "number": "1043708027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2727 PACES FERRY RD SE # 727",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394053",
            "telephone_number": "470-965-6726"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2727 PACES FERRY RD SE # 750",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303394053",
            "telephone_number": "470-965-6726"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRODIGY THERAPEUTIC SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-25",
        "last_updated": "2023-04-18",
        "certification_date": "2023-04-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAPORSHE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "404-399-4364"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Procrown Prosthetics
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• Kaitlin Baker Proctor, PHD
• Keishaun Saschier Proctor, M.D.
• Kennedi Proctor, RBT
• Professional Care, Inc.
• Professional Counseling Center of Atlanta, LLC
• Professional Dental Alliance of Atlanta Boulevard SE, LLC
• Professional Medical & Rehab Clinic
• Professional Portable Radiologic Services, Inc. (Professional Portable X-ray)

• Professional Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2023; 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.