Slater Therapeutic LLC

Primary specialty

CounselorTaxonomy code 101Y00000X

Legal business name

SLATER THERAPEUTIC LLC

Practice address

3703 Main St # 5
College Park, GA 30337-3544

Phone

(770) 569-3224

NPI assigned

Oct 18, 2023

Organization subpart

No

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

Authorized official

Name

Amanda Slater, LPC

Title

Owner/ Counselor

Phone

(704) 449-0792

Specialties & licenses 3

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Amanda Wilson

  • Professional Counselor
  • College Park, GA
  • NPI 1124679899
  NPD

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

{
    "created_epoch": "1697587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1697587200000",
    "number": "1093597627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3703 MAIN ST # 5",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373544"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3703 MAIN ST # 5",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303373544",
            "telephone_number": "770-569-3224"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SLATER THERAPEUTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-10-18",
        "last_updated": "2023-10-18",
        "certification_date": "2023-10-18",
        "status": "A",
        "authorized_official_last_name": "SLATER",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER/ COUNSELOR",
        "authorized_official_telephone_number": "704-449-0792",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tina Sills, D.C.
• Sherlyn Silver, LPC
• Tojuana Simmons
• Sirius Healthcare LLC
• SJ & J Chiropractic LLC
• Maria Slaughter, LISW, LCSW
• Jasmine Smith-Martinez, LPC
• Calvin Smith Jr.
• Lynda Renee Smith, PHD
• Neika T. Smith

• Counselor in College Park, GA
• Providers in College Park, GA by specialty
• Counselor in Georgia

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