NPIMap

Organization Active NPI

Resilient Focused Family Therapy

  • Professional Counselor
  • College Park, GA
National Provider Identifier
1629544341
Registry record updated Sep 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Professional CounselorTaxonomy code 101YP2500X
Legal business name
RESILIENT FOCUSED FAMILY THERAPY
Practice address
5534 Old National Hwy Ste 150
College Park, GA 30349-3274
Phone
(470) 334-8917
Fax
(404) 529-4473
NPI assigned
Oct 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2024

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

Authorized official

Name
Tanya Renee Sykes-Clark, CCC-SLP
Title
Speech-Language Pathologist
Phone
(404) 421-2896

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YP2500X Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X

Addresses

Primary practice location

5534 Old National Hwy Ste 150
College Park, GA 30349-3274

Mailing address

5534 Old National Hwy Ste 150
College Park, GA 30349-3274
Phone (470) 334-8917

National Provider Directory

National Provider Directory

Locations

5534 Old National Hwy
Ste 150
College Park, GA 30349
Phone (470) 334-8917

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1539993600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1725494400000",
    "number": "1629544341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5534 OLD NATIONAL HWY STE 150",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493274",
            "telephone_number": "470-334-8917",
            "fax_number": "404-529-4473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5534 OLD NATIONAL HWY STE 150",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303493274",
            "telephone_number": "470-334-8917",
            "fax_number": "404-529-4473"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESILIENT FOCUSED FAMILY THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-20",
        "last_updated": "2024-09-05",
        "certification_date": "2024-09-05",
        "status": "A",
        "authorized_official_last_name": "SYKES-CLARK",
        "authorized_official_first_name": "TANYA",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "SPEECH-LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "404-421-2896",
        "authorized_official_credential": "CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2024; 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.