Active NPI
Tavara Deanna Franklin, LPC
- Professional Counselor
- Stockbridge, GA
National Provider Identifier
1275997835
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Professional Counselor
- License
- LPC010945
- Practice address
- 1702 Hudson Bridge Rd
Stockbridge, GA 30281-6387 - Phone
- (404) 735-4884
- NPI assigned
- Apr 11, 2016
- Last updated
- Jan 3, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Professional Counselor | 101YP2500X | LPC010945 | GA | Primary |
Addresses
Primary practice location
1702 Hudson Bridge Rd
Stockbridge, GA 30281-6387
Mailing address
35 Pulaski Ave
Hampton, GA 30228-6416
Phone (404) 735-4884
Other practice location 1
868 York Ave SW
Atlanta, GA 30310-2750
Phone (404) 752-1400
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LPC010945 | GA | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healing Grounds Therapy and Wellness Center | Professional | Current | Accepting new patients |
Locations
1702 Hudson Bridge Rd
Stockbridge, GA 30281
Phone (404) 635-8178
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Professional Counselor
- Stockbridge, GA
- NPI 1902438567
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1460332800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1578009600000",
"number": "1275997835",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "35 PULASKI AVE",
"city": "HAMPTON",
"state": "GA",
"postal_code": "302286416",
"telephone_number": "404-735-4884"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1702 HUDSON BRIDGE RD",
"city": "STOCKBRIDGE",
"state": "GA",
"postal_code": "302816387",
"telephone_number": "404-735-4884"
}
],
"practiceLocations": [
{
"address_1": "868 York Ave SW",
"address_purpose": "LOCATION",
"city": "Atlanta",
"state": "GA",
"postal_code": "303102750",
"country_code": "US",
"telephone_number": "404-752-1400",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FRANKLIN",
"first_name": "TAVARA",
"middle_name": "DEANNA",
"name_prefix": "Mrs.",
"credential": "LPC",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-04-11",
"last_updated": "2020-01-03",
"certification_date": "2020-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "101YP2500X",
"taxonomy_group": "",
"desc": "Counselor, Professional",
"state": "GA",
"license": "LPC010945",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stockbridge, GA
- Charlene Frame
- Woody J Francis, MD
- Jeanelle Angelique Frank
- Christine Franklin
- Cleveland Sylvester Franklin Sr., RPH
- Ray Michael Frankowiak, CPO
- Kiki Smalley Frazier, MS,RD,LD
- Terrell Reginaldo Frazier, LCSW, MAC, CADC
- Freedom EMS (Freedom EMS LLC)
- Freedom Health Systems International, LLC (Freedom Chiropractic & Wellness Center)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.