Active NPI
Seedhouse Collective LLC
- Clinical Social Worker
- Rydal, GA
National Provider Identifier
1386550812
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- SEEDHOUSE COLLECTIVE LLC
- Practice address
- 156 Talon Dr SE
Rydal, GA 30171-1787 - Phone
- (404) 851-7204
- Fax
- (404) 601-9692
- NPI assigned
- Aug 24, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Tylisaea Bonner, DSW, LCSW
- Title
- Owner
- Phone
- (404) 851-7204
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
156 Talon Dr SE
Rydal, GA 30171-1787
Mailing address
156 Talon Dr SE
Rydal, GA 30171-1787
Phone (404) 851-7204
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1787529600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1787788800000",
"number": "1386550812",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "156 TALON DR SE",
"city": "RYDAL",
"state": "GA",
"postal_code": "301711787",
"telephone_number": "404-851-7204",
"fax_number": "404-601-9692"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "156 TALON DR SE",
"city": "RYDAL",
"state": "GA",
"postal_code": "301711787",
"telephone_number": "404-851-7204",
"fax_number": "404-601-9692"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEEDHOUSE COLLECTIVE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-08-24",
"last_updated": "2026-08-27",
"certification_date": "2026-08-27",
"status": "A",
"authorized_official_last_name": "BONNER",
"authorized_official_first_name": "TYLISAEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "404-851-7204",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DSW, LCSW"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rydal, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.