NPIMap

Organization Active NPI

Transformations Therapy of Atlanta, LLC

  • Mental Health Counselor
  • Lilburn, GA
National Provider Identifier
1639693047
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
CSW004791 Issued in GA
Legal business name
TRANSFORMATIONS THERAPY OF ATLANTA, LLC
Practice address
4566 Lawrenceville Hwy NW Ste 101
Lilburn, GA 30047-3686
Phone
(770) 217-7563
Fax
(770) 818-5253
NPI assigned
Jul 27, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Tia Thomas
Title
Director/Owner
Phone
(770) 217-7563

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YM0800X CSW004791 GA Primary

Addresses

Primary practice location

4566 Lawrenceville Hwy NW Ste 101
Lilburn, GA 30047-3686

Mailing address

4566 Lawrenceville Hwy NW Ste 101
Lilburn, GA 30047-3686
Phone (770) 217-7563

National Provider Directory

National Provider Directory
Tax ID family
Transformations Therapy of Atlanta LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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": "1501113600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1639693047",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4566 LAWRENCEVILLE HWY NW STE 101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473686",
            "telephone_number": "770-217-7563",
            "fax_number": "770-818-5253"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4566 LAWRENCEVILLE HWY NW STE 101",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300473686",
            "telephone_number": "770-217-7563",
            "fax_number": "770-818-5253"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRANSFORMATIONS THERAPY OF ATLANTA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-27",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "THOMAS",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "DIRECTOR/OWNER",
        "authorized_official_telephone_number": "770-217-7563"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "CSW004791",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.