NPIMap

Organization Active NPI

Puzzle Palace Mental and Behavioral Health Services LLC

  • Social Worker
  • Loganville, GA
National Provider Identifier
1326601006
Registry record updated Apr 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Social WorkerTaxonomy code 104100000X
Legal business name
PUZZLE PALACE MENTAL AND BEHAVIORAL HEALTH SERVICES LLC
Practice address
3277 Summit Glen Dr
Loganville, GA 30052-5398
Phone
(404) 771-8543
Fax
(404) 965-5009
NPI assigned
Apr 17, 2019
Organization subpart
Yes
Parent organization
MEDICAL ELITE NETWORK CORPAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 9, 2023

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

Authorized official

Name
Briouna Richards
Title
Owner
Phone
(404) 771-8543

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Behavior AnalystGroup: 193200000X MULTI-SPECIALTY GROUP 103K00000X
Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 104100000X Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X
Physical Therapy Clinic/Center 261QP2000X

Addresses

Primary practice location

3277 Summit Glen Dr
Loganville, GA 30052-5398

Mailing address

3277 Summit Glen Dr
Loganville, GA 30052-5398
Phone (404) 771-8543

Other names 1

  • Puzzle Palace Former legal business name

National Provider Directory

National Provider Directory
Part of
Medical Elite Network Corp

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1555459200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680998400000",
    "number": "1326601006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3277 SUMMIT GLEN DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525398",
            "telephone_number": "404-771-8543",
            "fax_number": "404-965-5009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3277 SUMMIT GLEN DR",
            "city": "LOGANVILLE",
            "state": "GA",
            "postal_code": "300525398",
            "telephone_number": "404-771-8543",
            "fax_number": "404-965-5009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PUZZLE PALACE MENTAL AND BEHAVIORAL HEALTH SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDICAL ELITE NETWORK CORP",
        "enumeration_date": "2019-04-17",
        "last_updated": "2023-04-09",
        "certification_date": "2023-04-09",
        "status": "A",
        "authorized_official_last_name": "RICHARDS",
        "authorized_official_first_name": "BRIOUNA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-771-8543"
    },
    "taxonomies": [
        {
            "code": "103K00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Behavior Analyst",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PUZZLE PALACE",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Puzzle Palace",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Loganville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2023; 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.