Active NPI
Collaborative Relationship Therapy, LLC
- Marriage & Family Therapist
- Bogart, GA
National Provider Identifier
1558932988
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Marriage & Family Therapist
- Legal business name
- COLLABORATIVE RELATIONSHIP THERAPY, LLC
- Practice address
- 830 Big Bear Rd
Bogart, GA 30622-5135 - Phone
- (470) 896-1331
- NPI assigned
- Jul 7, 2021
- Last updated
- Oct 6, 2026
- 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
- Dr. Aaron D Kirkwood, LMFT, DMFT
- Title
- Owner
- Phone
- (470) 896-1331
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | NU | Primary |
Addresses
Primary practice location
830 Big Bear Rd
Bogart, GA 30622-5135
Mailing address
830 Big Bear Rd
Bogart, GA 30622-5135
Phone (470) 896-1331
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
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.
-
- Marriage & Family Therapist
- Bogart, GA
- NPI 1609329275
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1625616000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791244800000",
"number": "1558932988",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "830 BIG BEAR RD",
"city": "BOGART",
"state": "GA",
"postal_code": "306225135",
"telephone_number": "470-896-1331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "830 BIG BEAR RD",
"city": "BOGART",
"state": "GA",
"postal_code": "306225135",
"telephone_number": "470-896-1331"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COLLABORATIVE RELATIONSHIP THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-07-07",
"last_updated": "2026-10-06",
"certification_date": "2026-10-06",
"status": "A",
"authorized_official_last_name": "KIRKWOOD",
"authorized_official_first_name": "AARON",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "470-896-1331",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "LMFT, DMFT"
},
"taxonomies": [
{
"code": "106H00000X",
"taxonomy_group": "",
"desc": "Marriage & Family Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bogart, GA
- Bum Mo Chung, DMD
- Clarke County Dept of Family and Children Services
- Zackary Clemons
- James Michael Cobb, M.D.
- Nickie Cole
- Tamara Collins
- Catherine Colquitt, MS, ATC, LAT
- Creative Hospice Care Inc (Eternal Faith Hospice and Palliative Care)
- Creative Hospice Care, Inc (Eternal Faith Hospice and Palliative Care)
- Samuel Clark Cutler IV, LPC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.