Active NPI
Interactive Interventions
- Mental Health Counselor
- Hiram, GA
National Provider Identifier
1104644319
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- INTERACTIVE INTERVENTIONS
- Practice address
- 119 Poole Bridge Dr
Hiram, GA 30141-5839 - Phone
- (540) 915-8877
- NPI assigned
- Sep 27, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Aarolyn Slates
- Title
- Owner
- Phone
- (540) 915-8877
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary |
Addresses
Primary practice location
119 Poole Bridge Dr
Hiram, GA 30141-5839
Mailing address
1301 Stapleton Dr
Garner, NC 27529-4668
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Mental Health Counselor
- Garner, NC
- NPI 1730555350
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727395200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733270400000",
"number": "1104644319",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 STAPLETON DR",
"city": "GARNER",
"state": "NC",
"postal_code": "275294668"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "119 POOLE BRIDGE DR",
"city": "HIRAM",
"state": "GA",
"postal_code": "301415839",
"telephone_number": "540-915-8877"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INTERACTIVE INTERVENTIONS",
"organizational_subpart": "NO",
"enumeration_date": "2024-09-27",
"last_updated": "2024-12-04",
"certification_date": "2024-12-04",
"status": "A",
"authorized_official_last_name": "SLATES",
"authorized_official_first_name": "AAROLYN",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "540-915-8877"
},
"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 Hiram, GA
- Aidenojie Eromosele Ihenyen, M.D.
- Rita Ilenre, PHARMD
- Independent Physical Therapy of Georgia, LLC
- Heather Marie Ingram
- Integrated Healthcare Center of Hiram LLC
- Interventional Spine & Pain Management Center, PC
- Elizabeth Nyambura Irungu, NP
- Its Not Something Its Everything, LLC
- Debra Jackson, MA
- Tanesha Jackson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.