Angela Saravia

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

License

LPC010965 Issued in GA

Practice address

540 Powder Springs St Ste E31
Marietta, GA 30064-3563

Phone

(678) 255-8444

Fax

(678) 402-5566

NPI assigned

Dec 18, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1418860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572220800000",
    "number": "1306244603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE E31",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643563",
            "telephone_number": "678-255-8444",
            "fax_number": "678-402-5566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST STE E31",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643563",
            "telephone_number": "678-255-8444",
            "fax_number": "678-402-5566"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6020 Dawson Blvd",
            "address_2": "Suite 1",
            "address_purpose": "LOCATION",
            "city": "Norcross",
            "state": "GA",
            "postal_code": "300931229",
            "country_code": "US",
            "telephone_number": "177-066-2024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SARAVIA",
        "first_name": "ANGELA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-12-18",
        "last_updated": "2019-10-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "LPC010965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Marietta, GA
• Providers in Marietta, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2019; 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.