Organization Active NPI

Focus Light Integrated Treatment and Counseling Counseling Center

  • Substance Abuse Rehabilitation Facility
  • Marietta, GA
National Provider Identifier
1184999526
Registry record updated Mar 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X
Legal business name
FOCUS LIGHT INTEGRATED TREATMENT AND COUNSELING COUNSELING CENTER
Practice address
20 Ayers Ave NE
Marietta, GA 30060-2112
Phone
(770) 865-9118
NPI assigned
Mar 19, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2012

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

Authorized official

Name
Dr. Titi A Ipadeola, PH.D
Title
Ceo
Phone
(770) 865-9118

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X
Substance Abuse Rehabilitation Facility 324500000X Primary

Addresses

Primary practice location

20 Ayers Ave NE
Marietta, GA 30060-2112

Mailing address

20 Ayers Ave NE
Marietta, GA 30060-2112
Phone (770) 865-9118

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1332115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1332115200000",
    "number": "1184999526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 AYERS AVE NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602112",
            "telephone_number": "770-865-9118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20 AYERS AVE NE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300602112",
            "telephone_number": "770-865-9118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOCUS LIGHT INTEGRATED TREATMENT AND COUNSELING COUNSELING CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-19",
        "last_updated": "2012-03-19",
        "status": "A",
        "authorized_official_last_name": "IPADEOLA",
        "authorized_official_first_name": "TITI",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-865-9118",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2012; 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.