Active NPI
Carla, LTD
- Adult Mental Health Clinic/Center
- Roswell, GA
National Provider Identifier
1477734515
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Mental Health Clinic/Center
- License
- LPC000869
- Legal business name
- CARLA, LTD
- Practice address
- 70 Mansell CT
Suite 100
Roswell, GA 30076-1523 - Phone
- (678) 357-6928
- NPI assigned
- Nov 16, 2007
- 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
- Mrs. Carol Ann Marra, LPC
- Title
- Ceo
- Phone
- (678) 357-6928
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Mental Health Clinic/Center | 261QM0850X | LPC000869 | GA | Primary |
Addresses
Primary practice location
70 Mansell CT
Suite 100
Roswell, GA 30076-1523
Mailing address
1049 Wiley Bridge Rd
Woodstock, GA 30188-4604
Phone (678) 357-6928
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1195171200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195171200000",
"number": "1477734515",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1049 WILEY BRIDGE RD",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301884604",
"telephone_number": "678-357-6928"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 MANSELL CT",
"address_2": "SUITE 100",
"city": "ROSWELL",
"state": "GA",
"postal_code": "300761523",
"telephone_number": "678-357-6928"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "CARLA, LTD",
"organizational_subpart": "NO",
"enumeration_date": "2007-11-16",
"last_updated": "2007-11-16",
"status": "A",
"authorized_official_last_name": "MARRA",
"authorized_official_first_name": "CAROL",
"authorized_official_middle_name": "ANN",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "678-357-6928",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "LPC"
},
"taxonomies": [
{
"code": "261QM0850X",
"taxonomy_group": "",
"desc": "Clinic/Center, Adult Mental Health",
"state": "GA",
"license": "LPC000869",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Roswell, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.