NPIMap

Organization Active NPI

Grow Heal Live Lead LLC

  • Counseling Psychologist
  • Atlanta, GA
National Provider Identifier
1376858100
Registry record updated Aug 17, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Counseling PsychologistTaxonomy code 103TC1900X
License
3256 Issued in GA
Legal business name
GROW HEAL LIVE LEAD LLC
Practice address
2964 Peachtree Rd NW
Suite 760
Atlanta, GA 30305-2153
Phone
(678) 463-1092
NPI assigned
Aug 17, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2010

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

Authorized official

Name
Dr. Wendy L Dickinson, PH.D.NPI 1174811319
Title
Licensed Psychologist/President
Phone
(678) 463-1092

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
Counseling PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TC1900X 3256 GA Primary

Addresses

Primary practice location

2964 Peachtree Rd NW
Suite 760
Atlanta, GA 30305-2153

Mailing address

2964 Peachtree Rd NW
Suite 760
Atlanta, GA 30305-2153
Phone (678) 463-1092

National Provider Directory

National Provider Directory
Tax ID family
Grow Counseling2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2964 Peachtree Rd NW
Ste 760
Atlanta, GA 30305
Phone (404) 345-4149

Practitioners & affiliated clinicians

Practitioners 12

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": "1282003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282003200000",
    "number": "1376858100",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2964 PEACHTREE RD NW",
            "address_2": "SUITE 760",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052153",
            "telephone_number": "678-463-1092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2964 PEACHTREE RD NW",
            "address_2": "SUITE 760",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052153",
            "telephone_number": "678-463-1092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GROW HEAL LIVE LEAD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-17",
        "last_updated": "2010-08-17",
        "status": "A",
        "authorized_official_last_name": "DICKINSON",
        "authorized_official_first_name": "WENDY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "LICENSED PSYCHOLOGIST/PRESIDENT",
        "authorized_official_telephone_number": "678-463-1092",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "103TC1900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Counseling",
            "state": "GA",
            "license": "3256",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2010; 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.