To the Root Counseling & Coaching

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

TO THE ROOT COUNSELING & COACHING

Practice address

1775 Parker Rd SE BLDG C
Conyers, GA 30094-6654

Phone

(678) 964-1325

NPI assigned

Jun 18, 2019

Last updated

Jun 18, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Martha Dawson, LPCNPI 1477910164

Title

Owner

Phone

(678) 964-1325

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Martha Dawson

  • Mental Health Counselor
  • Conyers, GA
  • NPI 1477910164
  NPD Authorized official

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

{
    "created_epoch": "1560816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560816000000",
    "number": "1518527837",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2580 FIELDSTONE DR SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300131900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1775 PARKER RD SE BLDG C",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300946654",
            "telephone_number": "678-964-1325"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TO THE ROOT COUNSELING & COACHING",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-06-18",
        "last_updated": "2019-06-18",
        "status": "A",
        "authorized_official_last_name": "DAWSON",
        "authorized_official_first_name": "MARTHA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-964-1325",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Darlene Lois Tiggs, LCSW
• Candace Marvenia Tillman, RNC, MS, WHNP-BC
• Lorraine Tillman, LMSW
• Stautcia Tillman, MS, LPC, NCC
• Tma Counseling and Coaching Services, LLC
• Mark Tomberlin Jr., LPC
• Bassam Tome, M.D.
• Tomorrow's Promise
• Tomorrows Promise Home Care LLC
• Lynnae Toombs

• Mental Health Clinic/Center (Including Community Mental Health Center) in Conyers, GA
• Providers in Conyers, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2019; 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.