Active NPI
Refined Vision Therapeutic Services
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Stockbridge, GA
National Provider Identifier
1114724077
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- REFINED VISION THERAPEUTIC SERVICES
- Practice address
- 407 Tea Rose LN N
Stockbridge, GA 30281-2364 - Phone
- (404) 259-4400
- NPI assigned
- Feb 27, 2025
- 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
- Ammereta Gaskin, LMFT
- Title
- Owner
- Phone
- (404) 259-4400
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Primary |
Addresses
Primary practice location
407 Tea Rose LN N
Stockbridge, GA 30281-2364
Mailing address
407 Tea Rose LN N
Stockbridge, GA 30281-2364
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1740614400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1740614400000",
"number": "1114724077",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "407 TEA ROSE LN N",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302812364"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 TEA ROSE LN N",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302812364",
"telephone_number": "404-259-4400"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "REFINED VISION THERAPEUTIC SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-27",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A",
"authorized_official_last_name": "GASKIN",
"authorized_official_first_name": "AMMERETA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-259-4400",
"authorized_official_credential": "LMFT"
},
"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": []
}
Other providers in Stockbridge, GA
- Real Reliable Medical Transportation, LLC
- Himabindu Reddy, M.D.
- Lankala Rajendra Reddy, MD
- Rediclinic LLC
- Rediclinic US, LLC
- Refreshed Express Transport and Courier Services
- Regenerative Orthopaedics and Spine Institute, LLC
- Regenerative Orthopaedics and Spine Institute, LLC
- Regenerative Orthopaedics Surgery Center, LLC
- Rehab Technologies, Inc.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.