Boss Lady Swag LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

BOSS LADY SWAG LLC

Practice address

125 Jennings Mill Pkwy Apt 1202
Athens, GA 30606-7458

Phone

(706) 338-9345

NPI assigned

Sep 28, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Tomekia Holandia RainesNPI 1003408725

Title

Owner/Administrator

Phone

(470) 202-8812

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.

• Tomekia Holandia Raines, LMSW

  • Clinical Social Worker
  • Lawrenceville, GA
  • NPI 1003408725
  NPD Authorized official

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

{
    "created_epoch": "1727481600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1727481600000",
    "number": "1629896790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 JENNINGS MILL PKWY APT 1202",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067458",
            "telephone_number": "706-338-9345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 JENNINGS MILL PKWY APT 1202",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067458",
            "telephone_number": "706-338-9345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOSS LADY SWAG LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-09-28",
        "last_updated": "2024-09-28",
        "certification_date": "2024-09-27",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "TOMEKIA",
        "authorized_official_middle_name": "HOLANDIA",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "470-202-8812",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jill Booms, RN
• Elizabeth Ann Boone, CSTFA
• Jennifer Ross Boone, LCSW
• Carson Lee Booth
• Richard Robert Born, PH.D.
• Emily Boss
• Sandrine M Bosshardt, PH.D.
• Christopher R. Bostdorff, MD
• Nathan Patrick Bosway, NCC
• Isaac Mandoh Botchey Jr., DO

• Mental Health Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Mental Health Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 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.