Alpha Omega Holistic Care & Counseling, LLC.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW005202 Issued in GA

Legal business name

ALPHA OMEGA HOLISTIC CARE & COUNSELING, LLC.

Practice address

160 Memory LN
Stockbridge, GA 30281-6263

Phone

(678) 561-2171

Fax

(678) 619-4399

NPI assigned

Jul 28, 2015

Last updated

Jul 28, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Christi Hardeman, LCSWNPI 1255736617

Title

Owner

Phone

(678) 561-2171

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Christi Perry Hardeman, LCSW

  • Clinical Social Worker
  • Stockbridge, GA
  • NPI 1255736617
  Authorized official Same address or phone

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

{
    "created_epoch": "1438041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1438041600000",
    "number": "1194100438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 MEMORY LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816263",
            "telephone_number": "678-561-2171",
            "fax_number": "678-619-4399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 MEMORY LN",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816263",
            "telephone_number": "678-561-2171",
            "fax_number": "678-619-4399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALPHA OMEGA HOLISTIC CARE & COUNSELING, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-28",
        "last_updated": "2015-07-28",
        "status": "A",
        "authorized_official_last_name": "HARDEMAN",
        "authorized_official_first_name": "CHRISTI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-561-2171",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW005202",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003158457A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Stockbridge, GA
• Providers in Stockbridge, 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 Jul 28, 2015; 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.