Organization Active NPI

Quintessence Innovations LLC

  • Clinical Social Worker
  • Smyrna, GA
National Provider Identifier
1457802001
Registry record updated Nov 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
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

Updated by the provider on Nov 30, 2021

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.