Inner Development LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

INNER DEVELOPMENT LLC

Practice address

540 Powder Springs St
Marietta, GA 30064-3549

Phone

(678) 255-8444

Fax

(678) 402-5566

NPI assigned

Nov 13, 2019

Organization subpart

No

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

Authorized official

Name

Angela Saravia, LPC

Title

Director

Phone

(678) 255-8444

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1573603200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573603200000",
    "number": "1326683491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2023 RAMBLEWOOD CT",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300623807",
            "telephone_number": "770-540-5553"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "540 POWDER SPRINGS ST",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643549",
            "telephone_number": "678-255-8444",
            "fax_number": "678-402-5566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INNER DEVELOPMENT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-13",
        "last_updated": "2019-11-13",
        "status": "A",
        "authorized_official_last_name": "SARAVIA",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "678-255-8444",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.