Organization Active NPI

Lovewell Collective

  • Mental Health Counselor
  • Marietta, GA
National Provider Identifier
1083250245
Registry record updated Nov 22, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
LOVEWELL COLLECTIVE
Practice address
1507 Hurt Rd SW
Marietta, GA 30008-5815
Phone
(678) 977-9694
NPI assigned
Nov 22, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2019

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

Authorized official

Name
Brady Radford, LPCNPI 1427486950
Title
Owner
Phone
(678) 977-9694

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

1507 Hurt Rd SW
Marietta, GA 30008-5815

Mailing address

1358 Velvet Creek Way SW
Marietta, GA 30008-7624
Phone (615) 497-4748

Other practice location 1

308 Clairemont Ave
Decatur, GA 30030-2506
Phone (678) 977-9694

National Provider Directory

National Provider Directory

Locations

308 Clairemont Ave
Decatur, GA 30030
Phone (404) 308-5408

1507 Hurt Rd SW
Marietta, GA 30008
Phone (678) 977-9694

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1574380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1574380800000",
    "number": "1083250245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1358 VELVET CREEK WAY SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300087624",
            "telephone_number": "615-497-4748"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1507 HURT RD SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300085815",
            "telephone_number": "678-977-9694"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "308 Clairemont Ave",
            "address_purpose": "LOCATION",
            "city": "Decatur",
            "state": "GA",
            "postal_code": "300302506",
            "country_code": "US",
            "telephone_number": "678-977-9694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOVEWELL COLLECTIVE",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-22",
        "last_updated": "2019-11-22",
        "status": "A",
        "authorized_official_last_name": "RADFORD",
        "authorized_official_first_name": "BRADY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-977-9694",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.