The Damascus Road

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

0006549 Issued in GA

Legal business name

THE DAMASCUS ROAD

Practice address

733B Carroll St
Perry, GA 31069-3368

Phone

(423) 943-7754

NPI assigned

Aug 12, 2017

Organization subpart

No

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

Authorized official

Name

Teah Lynette Moore, PHD, LPCNPI 1619355948

Title

Owner/Licensed Professional Counsel

Phone

(423) 943-7754

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Teah L. Moore Other name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Teah Moore, PHD

  • Professional Counselor
  • Perry, GA
  • NPI 1619355948
  NPD (past) Authorized official

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

{
    "created_epoch": "1502496000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502496000000",
    "number": "1508381344",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "312 SHANE CIR",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693776",
            "telephone_number": "423-943-7754"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "733B CARROLL ST",
            "city": "PERRY",
            "state": "GA",
            "postal_code": "310693368",
            "telephone_number": "423-943-7754"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE DAMASCUS ROAD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-12",
        "last_updated": "2017-08-12",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "TEAH",
        "authorized_official_middle_name": "LYNETTE",
        "authorized_official_title_or_position": "OWNER/LICENSED PROFESSIONAL COUNSEL",
        "authorized_official_telephone_number": "423-943-7754",
        "authorized_official_credential": "PHD, LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "0006549",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003181539A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Teah L. Moore",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Cathy M Tedder, NPC
• Danielle Tehrani, AGPCNP-BC
• Nasser Seyed Tehrani, MD
• Temiko G Braswell DDS PC
• Jennifer Aileen Thaxton, FNP-C
• The Hope Lab, LLC (The Hope Lab Counseling, LLC)
• The Kroger Co (Kroger Pharmacy)
• The Spartan Group
• The Speech Path
• The Speech Path, LLC

• Community/Behavioral Health Agency in Perry, GA
• Providers in Perry, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2017; 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.