Organization Active NPI

Care Therapeutic Services, LLC

  • Marriage & Family Therapist
  • Powder Springs, GA
National Provider Identifier
1447559885
Registry record updated Mar 24, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
MFT001175 Issued in GA
Legal business name
CARE THERAPEUTIC SERVICES, LLC
Practice address
5041 Dallas Hwy
Suite 402
Powder Springs, GA 30127-6458
Phone
(678) 354-5594
Fax
(678) 288-7945
NPI assigned
Mar 24, 2011
Last updated
Mar 24, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2011

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

Authorized official

Name
Mrs. Elizabeth C Waite, LMFTNPI 1851683478
Title
Co-Owner / Therapist
Phone
(404) 579-9381

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LPC006056 GA
Marriage & Family Therapist 106H00000X MFT001175 GA Primary

Addresses

Primary practice location

5041 Dallas Hwy
Suite 402
Powder Springs, GA 30127-6458

Mailing address

5041 Dallas Hwy
Suite 402
Powder Springs, GA 30127-6458
Phone (678) 354-5594

Other identifiers 1

IdentifierTypeStateIssuer
12214821OtherGACAQH

National Provider Directory

National Provider Directory

Locations

175 Pine Grove Rd
Ste 100
Cartersville, GA 30120

5041 Dallas Hwy
Ste 402
Powder Springs, GA 30127
Phone (678) 354-5594

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1300924800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1300924800000",
    "number": "1447559885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY",
            "address_2": "SUITE 402",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276458",
            "telephone_number": "678-354-5594",
            "fax_number": "678-288-7945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5041 DALLAS HWY",
            "address_2": "SUITE 402",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276458",
            "telephone_number": "678-354-5594",
            "fax_number": "678-288-7945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE THERAPEUTIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-03-24",
        "last_updated": "2011-03-24",
        "status": "A",
        "authorized_official_last_name": "WAITE",
        "authorized_official_first_name": "ELIZABETH",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CO-OWNER / THERAPIST",
        "authorized_official_telephone_number": "404-579-9381",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC006056",
            "primary": false
        },
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001175",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAQH",
            "identifier": "12214821",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2011; 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.