Active NPI
Quintessence Innovations LLC
- Clinical Social Worker
- Smyrna, GA
National Provider Identifier
1457802001
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- QUINTESSENCE INNOVATIONS LLC
- Practice address
- 4480 S Cobb Dr SE Ste H184
Smyrna, GA 30080-6990 - Phone
- (770) 694-9142
- NPI assigned
- Oct 19, 2016
- 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
- Michelle L Thomas Rhue, PHD
- Title
- LCSW
- Phone
- (770) 694-9142
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
4480 S Cobb Dr SE Ste H184
Smyrna, GA 30080-6990
Mailing address
4480 S Cobb Dr SE Ste H
Smyrna, GA 30080-6964
Phone (770) 694-9142
National Provider Directory
National Provider DirectoryLocations
2751 Buford Hwy NE
Atlanta, GA 30324
Phone (404) 907-1934
3600 Dallas Hwy SW
Ste 270
Marietta, GA 30064
4480 S Cobb Dr SE
Ste H184
Smyrna, GA 30080
Phone (470) 236-1424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1476835200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638230400000",
"number": "1457802001",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4480 S COBB DR SE STE H",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806964",
"telephone_number": "770-694-9142"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4480 S COBB DR SE STE H184",
"city": "SMYRNA",
"state": "GA",
"postal_code": "300806990",
"telephone_number": "770-694-9142"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "QUINTESSENCE INNOVATIONS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-10-19",
"last_updated": "2021-11-30",
"certification_date": "2021-11-12",
"status": "A",
"authorized_official_last_name": "THOMAS RHUE",
"authorized_official_first_name": "MICHELLE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "LCSW",
"authorized_official_telephone_number": "770-694-9142",
"authorized_official_credential": "PHD"
},
"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 Smyrna, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.