Active NPI
Tabitha's House, Inc.
- Community/Behavioral Health Agency
- Buford, GA
National Provider Identifier
1174009997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- TABITHA'S HOUSE, INC.
- Practice address
- 1400 Buford Hwy Ste R4
Buford, GA 30518-8777 - Phone
- (678) 804-8823
- Fax
- (678) 804-8827
- NPI assigned
- Jul 15, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Margie Gill, LPC
- Title
- Executive Director
- Phone
- (678) 804-8823
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1400 Buford Hwy Ste R4
Buford, GA 30518-8777
Mailing address
1400 Buford Hwy Ste R4
Buford, GA 30518-8777
Phone (678) 804-8823
Other practice location 1
4650 Flat Shoals Pkwy
Decatur, GA 30034-5000
Phone (678) 804-8823
National Provider Directory
National Provider DirectoryLocations
4650 Flat Shoals Pkwy
Decatur, GA 30034
Phone (404) 243-9336
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Professional Counselor
- Buford, GA
- NPI 1871985820
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1531612800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1554854400000",
"number": "1174009997",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1400 BUFORD HWY STE R4",
"city": "BUFORD",
"state": "GA",
"postal_code": "305188777",
"telephone_number": "678-804-8823",
"fax_number": "678-804-8827"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1400 BUFORD HWY STE R4",
"city": "BUFORD",
"state": "GA",
"postal_code": "305188777",
"telephone_number": "678-804-8823",
"fax_number": "678-804-8827"
}
],
"practiceLocations": [
{
"address_1": "4650 Flat Shoals Pkwy",
"address_purpose": "LOCATION",
"city": "Decatur",
"state": "GA",
"postal_code": "300345000",
"country_code": "US",
"telephone_number": "678-804-8823",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "TABITHA'S HOUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-07-15",
"last_updated": "2019-04-10",
"status": "A",
"authorized_official_last_name": "GILL",
"authorized_official_first_name": "MARGIE",
"authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
"authorized_official_telephone_number": "678-804-8823",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buford, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.