Entera Health Alliance - Ga, PC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

ENTERA HEALTH ALLIANCE - GA, PC

Practice address

9040 Roswell Rd Ste 500
Atlanta, GA 30350-1863

Phone

(678) 824-5664

NPI assigned

Nov 12, 2025

Organization subpart

No

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

Authorized official

Name

Atavious Johnson, LPC-S

Title

Manager

Phone

(678) 824-5664

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1762905600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1762905600000",
    "number": "1164382362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9040 ROSWELL RD STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501863"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9040 ROSWELL RD STE 500",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303501863",
            "telephone_number": "678-824-5664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ENTERA HEALTH ALLIANCE - GA, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-11-12",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "ATAVIOUS",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "678-824-5664",
        "authorized_official_credential": "LPC-S"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.