MTBM Global Rehabilitation

Primary specialty

CounselorTaxonomy code 101Y00000X

License

4592 Issued in GA

Legal business name

MTBM GLOBAL REHABILITATION

Practice address

2890A Ga Hwy 212
Suite 239
Conyers, GA 30094

Phone

(770) 987-7414

Fax

(770) 987-3106

NPI assigned

Feb 22, 2008

Organization subpart

Yes

Parent organization

MTBM GLOBAL REHABILITATION CONSULTANTSAs reported in NPPES

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

Authorized official

Name

Dr. Silvio S Reyes, PHD

Title

Licensed Professional Counselor

Phone

(770) 987-7414

Specialties & licenses 1

Addresses

Part of

MTBM Global Rehabilitation

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

{
    "created_epoch": "1203638400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1457520660",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2890A GA HWY 212",
            "address_2": "SUITE 239",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-987-7414",
            "fax_number": "770-987-3106"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2890A GA HWY 212",
            "address_2": "SUITE 239",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "30094",
            "telephone_number": "770-987-7414",
            "fax_number": "770-987-3106"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MTBM GLOBAL REHABILITATION",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MTBM GLOBAL REHABILITATION CONSULTANTS",
        "enumeration_date": "2008-02-22",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "REYES",
        "authorized_official_first_name": "SILVIO",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "LICENSED PROFESSIONAL COUNSELOR",
        "authorized_official_telephone_number": "770-987-7414",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHD"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": "4592",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Counselor in Conyers, GA
• Providers in Conyers, GA by specialty
• Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; 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.