Organization Active NPI

Georgia Center of Resilience Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Phoenix, AZ
National Provider Identifier
1104625920
Registry record updated Mar 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
GEORGIA CENTER OF RESILIENCE INC.
Practice address
2432 W. Peoria Ave
BLDG 15. Suite 1324
Phoenix, AZ 85029
Phone
(404) 664-3564
Fax
(623) 321-6613
NPI assigned
Mar 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2025

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

Authorized official

Name
Ms. Tamika Thornton
Title
Ceo
Phone
(404) 664-3564

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

2432 W. Peoria Ave
BLDG 15. Suite 1324
Phoenix, AZ 85029

Mailing address

2432 W. Peoria Ave
BLDG 15. Suite 1324
Phoenix, AZ 85029
Phone (404) 664-3564

Other names 1

  • GCOR Doing business as

National Provider Directory

National Provider Directory

Locations

2432 W Peoria Ave
Ste 1324
Phoenix, AZ 85029
Phone (404) 664-3564

Practitioners & affiliated clinicians

Practitioners 2

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": "1741737600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741737600000",
    "number": "1104625920",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2432 W. PEORIA AVE",
            "address_2": "BLDG 15. SUITE 1324",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "404-664-3564",
            "fax_number": "623-321-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2432 W. PEORIA AVE",
            "address_2": "BLDG 15. SUITE 1324",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85029",
            "telephone_number": "404-664-3564",
            "fax_number": "623-321-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA CENTER OF RESILIENCE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-12",
        "last_updated": "2025-03-12",
        "certification_date": "2025-03-12",
        "status": "A",
        "authorized_official_last_name": "THORNTON",
        "authorized_official_first_name": "TAMIKA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-664-3564",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "GCOR",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2025; 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.