NPIMap

Organization Active NPI

Center for Awareness and Evolvement

  • Professional Counselor
  • Marietta, GA
National Provider Identifier
1629433438
Registry record updated Dec 21, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
License
001643 Issued in GA
Legal business name
CENTER FOR AWARENESS AND EVOLVEMENT
Practice address
1568 Cloverdale Dr
Marietta, GA 30067-7406
Phone
(678) 571-3207
NPI assigned
Dec 21, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2015

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

Authorized official

Name
Sonia A Torretto, LPC
Title
Owner
Phone
(678) 571-3207

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X 001643 GA Primary

Addresses

Primary practice location

1568 Cloverdale Dr
Marietta, GA 30067-7406

Mailing address

1568 Cloverdale Dr SE
Marietta, GA 30067-7406
Phone (678) 571-3207

Other identifiers 1

IdentifierTypeStateIssuer
001643OtherGALICENSE NUMBER

National Provider Directory

National Provider Directory

Locations

1568 Cloverdale Dr SE
Marietta, GA 30067
Phone (678) 571-3207

NPI Registry JSON

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

{
    "created_epoch": "1450656000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1450656000000",
    "number": "1629433438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1568 CLOVERDALE DR SE",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677406",
            "telephone_number": "678-571-3207"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1568 CLOVERDALE DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300677406",
            "telephone_number": "678-571-3207"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTER FOR AWARENESS AND EVOLVEMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-21",
        "last_updated": "2015-12-21",
        "status": "A",
        "authorized_official_last_name": "TORRETTO",
        "authorized_official_first_name": "SONIA",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-571-3207",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "001643",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "001643",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2015; 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.