Organization Active NPI

Antia's Tender Touch LLC

Doing business as Tender Touch Counseling Services

  • Mental Health Counselor
  • McDonough, GA
National Provider Identifier
1134471030
Registry record updated Jul 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
ANTIA'S TENDER TOUCH LLC
Doing business as
Tender Touch Counseling Services
Practice address
1475 Highway 20 W
McDonough, GA 30253-7306
Phone
(678) 782-6170
Fax
(678) 782-6186
NPI assigned
Oct 3, 2012
Last updated
Jul 2, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2019

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

Authorized official

Name
Felicia Antea' Briddy
Title
Owner/Administrator
Phone
(678) 782-6170

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Primary

Addresses

Primary practice location

1475 Highway 20 W
McDonough, GA 30253-7306

Mailing address

1475 Highway 20 W
McDonough, GA 30253-7306
Phone (678) 782-6170

Other practice location 1

9425 S Main St
Jonesboro, GA 30236-6023
Phone (770) 731-0495

Other names 1

  • Tender Touch Counseling Services Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160606001381 GA Part B Supplier - Clinic/Group Practice 8224328125 Practice locations: McDonough, GA

National Provider Directory

National Provider Directory

Locations

9425 S Main St
Jonesboro, GA 30236
Phone (678) 358-4482

9434 S Main St
Ste 500
Jonesboro, GA 30236
Phone (770) 731-0495

1475 Highway 20 W
McDonough, GA 30253
Phone (678) 782-6170

NPI Registry JSON

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

{
    "created_epoch": "1349222400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1562025600000",
    "number": "1134471030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1475 HIGHWAY 20 W",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537306",
            "telephone_number": "678-782-6170",
            "fax_number": "678-782-6186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1475 HIGHWAY 20 W",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537306",
            "telephone_number": "678-782-6170",
            "fax_number": "678-782-6186"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9425 S Main St",
            "address_purpose": "LOCATION",
            "city": "Jonesboro",
            "state": "GA",
            "postal_code": "302366023",
            "country_code": "US",
            "telephone_number": "770-731-0495",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ANTIA'S TENDER TOUCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-03",
        "last_updated": "2019-07-02",
        "status": "A",
        "authorized_official_last_name": "BRIDDY",
        "authorized_official_first_name": "FELICIA",
        "authorized_official_middle_name": "ANTEA'",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-782-6170"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tender Touch Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tender Touch Counseling Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.