Active NPI
Focus Light Integrated Treatment and Counseling Counseling Center
- Substance Abuse Rehabilitation Facility
- Marietta, GA
National Provider Identifier
1184999526
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryNPI 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.