Organization Active NPI

Samatra Sa Counseling, Education and Trainings

  • Substance Abuse Rehabilitation Facility
  • Conyers, GA
National Provider Identifier
1154031672
Registry record updated Nov 28, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
SAMATRA SA COUNSELING, EDUCATION AND TRAININGS
Practice address
1000 Iris Dr SW # 200D
Conyers, GA 30094-6632
Phone
(404) 838-1271
NPI assigned
Nov 28, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2022

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

Authorized official

Name
Ms. Samatra L Phillips, MA, MAC, ICAADCNPI 1578945606
Title
Ceo/Director
Phone
(404) 838-1271

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)CodeLicenseStatePrimary
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

1000 Iris Dr SW # 200D
Conyers, GA 30094-6632

Mailing address

4868 Ozment TRL
Stonecrest, GA 30038-6208
Phone (404) 838-1271

Other names 1

  • Samatra Counseling, Education and Trainings Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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": "1669593600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1669593600000",
    "number": "1154031672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4868 OZMENT TRL",
            "city": "STONECREST",
            "state": "GA",
            "postal_code": "300386208",
            "telephone_number": "404-838-1271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 IRIS DR SW # 200D",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946632",
            "telephone_number": "404-838-1271"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMATRA SA COUNSELING, EDUCATION AND TRAININGS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-11-28",
        "last_updated": "2022-11-28",
        "certification_date": "2022-11-26",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "SAMATRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "404-838-1271",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MA, MAC, ICAADC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Samatra Counseling, Education and Trainings",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2022; 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.