East Cobb Therapy Center LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

EAST COBB THERAPY CENTER LLC

Practice address

3855 Shallowford Rd Ste 420
Marietta, GA 30062-4197

Phone

(770) 592-0566

NPI assigned

Mar 10, 2021

Organization subpart

No

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

Authorized official

Name

Keira Oseroff, LCSW

Title

Organizer/Partner

Phone

(770) 592-0566

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.

• Brittany Monique Woods, APC

  • Mental Health Counselor
  • Marietta, GA
  • NPI 1144056326
  NPD

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

{
    "created_epoch": "1615334400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615334400000",
    "number": "1184209207",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD STE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3855 SHALLOWFORD RD STE 420",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300624197",
            "telephone_number": "770-592-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EAST COBB THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-10",
        "last_updated": "2021-03-10",
        "certification_date": "2021-03-10",
        "status": "A",
        "authorized_official_last_name": "OSEROFF",
        "authorized_official_first_name": "KEIRA",
        "authorized_official_title_or_position": "ORGANIZER/PARTNER",
        "authorized_official_telephone_number": "770-592-0566",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• East Cobb Pediatrics and Adolescent Medicine, PC
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• East Cobb Physical Therapy, LLC
• East Cobb Podiatry Surgery Center, LLC
• East Cobb Relationship Center
• East Cobb Therapy Solutions, LLC
• East Cobb Urgent Care, LLC
• East Cobb Wellness Center
• East Marietta Drug Co Inc
• East Marietta Drug Company, Inc

• Mental Health Clinic/Center (Including Community Mental Health Center) in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2021; 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.