Ava Grace LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

AVA GRACE LLC

Practice address

3315 Roswell Rd NE Apt 4059
Atlanta, GA 30305-1438

Phone

(904) 377-9756

NPI assigned

May 17, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Chyna Yvonne Hill, PHDNPI 1902409485

Title

Co-Founder

Phone

(904) 377-9756

Specialties & licenses 1

Addresses

Practitioners 1

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

• Chyna Yvonne Hill, PHD, MSW, MA

  • Clinical Social Worker
  • Irvine, CA
  • NPI 1902409485
  NPD Authorized official

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

{
    "created_epoch": "1715904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1174372437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3315 ROSWELL RD NE APT 4059",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3315 ROSWELL RD NE APT 4059",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303051438",
            "telephone_number": "904-377-9756"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AVA GRACE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-17",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-15",
        "status": "A",
        "authorized_official_last_name": "HILL",
        "authorized_official_first_name": "CHYNA",
        "authorized_official_middle_name": "YVONNE",
        "authorized_official_title_or_position": "CO-FOUNDER",
        "authorized_official_telephone_number": "904-377-9756",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2024; 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.