Active NPI
Playheals-a Therapeutic Counseling Facility
Doing business as Back2Life Counseling & Coaching Associates
- Mental Health Counselor
- Tucker, GA
National Provider Identifier
1235973488
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- Legal business name
- PLAYHEALS-A THERAPEUTIC COUNSELING FACILITY
- Doing business as
- Back2Life Counseling & Coaching Associates
- Practice address
- 1885 Weston LN
Tucker, GA 30084-5503 - Phone
- (678) 431-0064
- NPI assigned
- Jun 22, 2024
- 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. Chassity Todd, PHD, LPC, NCC, ACS
- Title
- Ceo
- Phone
- (678) 431-0064
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | Primary | ||
| Health & Wellness Coach | 171400000X |
Addresses
Primary practice location
1885 Weston LN
Tucker, GA 30084-5503
Mailing address
1885 Weston LN
Tucker, GA 30084-5503
Phone (678) 431-0064
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275286544 | Medicaid | GA |
Other names 1
- Back2Life Counseling & Coaching Associates
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1719014400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1733788800000",
"number": "1235973488",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1885 WESTON LN",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845503",
"telephone_number": "678-431-0064"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1885 WESTON LN",
"city": "TUCKER",
"state": "GA",
"postal_code": "300845503",
"telephone_number": "678-431-0064"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "PLAYHEALS-A THERAPEUTIC COUNSELING FACILITY",
"organizational_subpart": "NO",
"enumeration_date": "2024-06-22",
"last_updated": "2024-12-10",
"certification_date": "2024-12-06",
"status": "A",
"authorized_official_last_name": "TODD",
"authorized_official_first_name": "CHASSITY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-431-0064",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD, LPC, NCC, ACS"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Mental Health",
"state": null,
"license": null,
"primary": true
},
{
"code": "171400000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Health & Wellness Coach",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1275286544",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Back2Life Counseling & Coaching Associates",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Back2Life Counseling & Coaching Associates",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 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.