Cora Lee Institute

Primary specialty

PsychologistTaxonomy code 103T00000X

License

PSY003343 Issued in GA

Legal business name

CORA LEE INSTITUTE

Practice address

3080 Highlands Pkwy SE
Ste a
Smyrna, GA 30082-5181

Phone

(770) 634-2349

Fax

(770) 941-9919

NPI assigned

Feb 8, 2013

Organization subpart

No

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

Authorized official

Name

Tywanda Ellison Lightfoot, PHD

Title

Owner

Phone

(770) 634-2349

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1360281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1360281600000",
    "number": "1083953178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3080 HIGHLANDS PKWY SE",
            "address_2": "STE A",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825181",
            "telephone_number": "770-634-2349",
            "fax_number": "770-941-9919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3080 HIGHLANDS PKWY SE",
            "address_2": "STE A",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300825181",
            "telephone_number": "770-634-2349",
            "fax_number": "770-941-9919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORA LEE INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-08",
        "last_updated": "2013-02-08",
        "status": "A",
        "authorized_official_last_name": "LIGHTFOOT",
        "authorized_official_first_name": "TYWANDA",
        "authorized_official_middle_name": "ELLISON",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-634-2349",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychologist",
            "state": "GA",
            "license": "PSY003343",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• J A Corso, MD

• Psychologist in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2013; 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.