Family Art Therapy Center
Organization Active NPI Community/Behavioral Health Agency · Clayton, GA
NPI 1154464006 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1154464006
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- License
- LPC4008 (GA)
- Legal business name
- FAMILY ART THERAPY CENTER
- Practice address
- 44 Cottonwood St.
Clayton, GA 30525 - Phone
- (706) 782-0717
- Fax
- (706) 782-5266
- NPI assigned
- Feb 14, 2007
- Organization subpart
- No
Authorized official
- Name
- Carmen Rose Redd
- Title
- Office Manager
- Phone
- (706) 782-0717
Corporate family (same tax ID) 1
Practitioners 9
-
Christy Elizabeth Black, LPC, ATR-BC
-
Judith Ann Cole, LPC
-
Thomas Gregory Cole, LPC
-
Patti Denike, NCTMB THERAPIST
-
Evelyn Craig Edmondson, LCSW
-
Barbara H Marshall, LPC
-
Carrie McLamar, MS, LPC
-
Kimberli Dawn Patrick, M.ED, LPC
-
Nancy B Schimp, MSW LCSW
National Provider Directory
- Tax ID family
- Family Art Therapy Center
Locations
44 Cottonwood St
Clayton, GA 30525
Phone (706) 490-3149
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | LPC4008 | GA | Yes |
Addresses
Primary practice location
44 Cottonwood St.
Clayton, GA 30525
Mailing address
44 Cottonwood St.
Clayton, GA 30525
Phone (706) 782-0717
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10045587 | Other | GA | AMERIGROUP |
NPI Registry JSON
{
"created_epoch": "1171411200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1154464006",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "44 COTTONWOOD ST.",
"city": "CLAYTON",
"state": "GA",
"postal_code": "30525",
"telephone_number": "706-782-0717",
"fax_number": "706-782-5266"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "44 COTTONWOOD ST.",
"city": "CLAYTON",
"state": "GA",
"postal_code": "30525",
"telephone_number": "706-782-0717",
"fax_number": "706-782-5266"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "FAMILY ART THERAPY CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-14",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "REDD",
"authorized_official_first_name": "CARMEN",
"authorized_official_middle_name": "ROSE",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "706-782-0717"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": "GA",
"license": "LPC4008",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10045587",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Clayton, GA
- Elevationcw PLLC
- Emcare Physician Providers Inc.
- Irby Dell Engram Jr.
- Ermds LLC
- Esprit de Core Counseling, Inc.
- Family Art Therapy Center PC
- Julie Ann Farrow
- Lisa M Ferraro
- Foothills Emergency Services, LLC
- Karen J Frank
All providers in Clayton, GA · Community/Behavioral Health Agency in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.