Connect 4 Behavioral Solutions, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009818 Issued in GA

Legal business name

CONNECT 4 BEHAVIORAL SOLUTIONS, LLC

Practice address

1800 Lake Park Dr SE Ste 102
Smyrna, GA 30080-7639

Phone

(678) 899-5871

NPI assigned

Aug 10, 2018

Last updated

Aug 10, 2018By 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

Lamonica D Green, LPCNPI 1407352669

Title

President

Phone

(678) 899-5871

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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.

• Lamonica Green, LPC

  • Professional Counselor
  • Smyrna, GA
  • NPI 1407352669
  NPD (past) Authorized official

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

{
    "created_epoch": "1533859200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1533859200000",
    "number": "1275012163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 RIVER VISTA DR UNIT 341",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397612",
            "telephone_number": "678-899-5871"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 LAKE PARK DR SE STE 102",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300807639",
            "telephone_number": "678-899-5871"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONNECT 4 BEHAVIORAL SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-10",
        "last_updated": "2018-08-10",
        "status": "A",
        "authorized_official_last_name": "GREEN",
        "authorized_official_first_name": "LAMONICA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "678-899-5871",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009818",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003204162A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Complete Care for Women, P.C.
• Concentric Behavioral Health Services LLC
• Concord Accident & Injury LLC
• Margaret Ladell Conley, LCSW
• Taesha Conley
• Connections Counseling LLC
• Brian Alan Conner, LPC
• Conte Chiropractic, DC, PC
• Derek Conte, D.C.
• Julane Ruth Contursi, MS, RDN, LD

• Professional Counselor in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2018; 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.