Talk Therapy Home Health Service LLC

Primary specialty

Child & Adolescent Psychiatric/Mental Health Registered NurseTaxonomy code 163WP0807X

Legal business name

TALK THERAPY HOME HEALTH SERVICE LLC

Practice address

717 S Jeff Davis Dr
Fayetteville, GA 30215-2416

Phone

(678) 772-0408

Fax

(470) 758-8853

NPI assigned

Jul 29, 2024

Organization subpart

No

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

Authorized official

Name

Rasheeda G Kimbro, PMHNP-BCNPI 1356026371

Title

Ceo

Phone

(678) 772-0408

Specialties & licenses 2

Addresses

Other names 1

• Rasheeda Kimbro Former legal business name

Practitioners 1

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

• Rasheeda Kimbro

  • Psychiatric/Mental Health Registered Nurse
  • Fayetteville, GA
  • NPI 1356026371
  NPD Authorized official

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

{
    "created_epoch": "1722211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722211200000",
    "number": "1235968355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 S JEFF DAVIS DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152416",
            "telephone_number": "678-772-0408",
            "fax_number": "470-758-8853"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "717 S JEFF DAVIS DR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302152416",
            "telephone_number": "678-772-0408",
            "fax_number": "470-758-8853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TALK THERAPY HOME HEALTH SERVICE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-07-29",
        "last_updated": "2024-07-29",
        "certification_date": "2024-07-29",
        "status": "A",
        "authorized_official_last_name": "KIMBRO",
        "authorized_official_first_name": "RASHEEDA",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-772-0408",
        "authorized_official_credential": "PMHNP-BC"
    },
    "taxonomies": [
        {
            "code": "163WP0807X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Psychiatric/Mental Health, Child & Adolescent",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Rasheeda Kimbro",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Eric Swinson, DMD
• Eve J Sylvain
• Michael John Sylvester, MD
• Synergy Homecare of Fayetteville Ga LLC
• Olufemi Abiodun Taiwo, M.D
• Joanne Talley, RD, LD, CDE
• Suzanne Renee Tambasco, NP
• Tyneshea Marlene Tanner, PHARM.D.
• Tara a Fogle, D.M.D, P.C.
• Eric Tarver, RBT

• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• Child & Adolescent Psychiatric/Mental Health Registered Nurse in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 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.