The Quilt Transitional Consulting and Development Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

THE QUILT TRANSITIONAL CONSULTING AND DEVELOPMENT SERVICES, LLC

Practice address

5987 Pattillo LN
Lithonia, GA 30058-6295

Phone

(404) 297-8321

Fax

(404) 297-8322

NPI assigned

Feb 20, 2018

Organization subpart

No

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

Authorized official

Name

Janice Marie Cooks, CAC IINPI 1790963023

Title

Executive Director- Ceo

Phone

(404) 297-8321

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• n/a Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Janice Marie Cooks, CAC

  • Addiction (Substance Use Disorder) Counselor
  • Lithonia, GA
  • NPI 1790963023
  NPD Authorized official

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1594166400000",
    "number": "1134629736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5987 PATTILLO LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586295",
            "telephone_number": "404-297-8321",
            "fax_number": "404-297-8322"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5987 PATTILLO LN",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300586295",
            "telephone_number": "404-297-8321",
            "fax_number": "404-297-8322"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE QUILT TRANSITIONAL CONSULTING AND DEVELOPMENT SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2020-07-08",
        "certification_date": "2020-07-08",
        "status": "A",
        "authorized_official_last_name": "COOKS",
        "authorized_official_first_name": "JANICE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR- CEO",
        "authorized_official_telephone_number": "404-297-8321",
        "authorized_official_credential": "CAC II"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "926597240A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "n/a",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Community/Behavioral Health Agency in Lithonia, GA
• Providers in Lithonia, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2020; 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.