NPIMap

Organization Active NPI

Out Tha Box Foundation

  • Counselor
  • Stockbridge, GA
National Provider Identifier
1326860834
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
OUT THA BOX FOUNDATION
Practice address
3156 Mount Zion Rd Apt 305
Stockbridge, GA 30281-4179
Phone
(443) 722-9488
NPI assigned
Oct 26, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Authorized official

Name
Renee Bernadette Ambush, LM, IMSNPI 1972325488
Title
Impartation Strategist
Phone
(443) 722-9488

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X Primary

Addresses

Primary practice location

3156 Mount Zion Rd Apt 305
Stockbridge, GA 30281-4179

Mailing address

3156 Mount Zion Rd Apt 305
Stockbridge, GA 30281-4179
Phone (443) 722-9488

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729900800000",
    "number": "1326860834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3156 MOUNT ZION RD APT 305",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814179",
            "telephone_number": "443-722-9488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3156 MOUNT ZION RD APT 305",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814179",
            "telephone_number": "443-722-9488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT THA BOX FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A",
        "authorized_official_last_name": "AMBUSH",
        "authorized_official_first_name": "RENEE",
        "authorized_official_middle_name": "BERNADETTE",
        "authorized_official_title_or_position": "IMPARTATION STRATEGIST",
        "authorized_official_telephone_number": "443-722-9488",
        "authorized_official_credential": "LM, IMS"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; 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.