Together Empowered Inc
Organization Active NPI Professional Counselor · Berkley Lake, GA
NPI 1659934255 · NPPES record last updated Aug 5, 2024
Key facts
- NPI
- 1659934255
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Professional Counselor 101YP2500X
- Legal business name
- TOGETHER EMPOWERED INC
- Practice address
- 4720 Peachtree Industrial Blvd
Ste 4201
Berkley Lake, GA 30071 - Phone
- (404) 900-9586
- NPI assigned
- Apr 18, 2019
- Organization subpart
- No
Authorized official
- Name
- Dr. Bertrina Olivia West, PHD
- Title
- Clinical Director
- Phone
- (404) 900-9583
Practitioners 3
-
Cynthia Joan Nist, MSW
National Provider Directory
Locations
4720 Peachtree Industrial Blvd
Ste 4201
Berkeley Lake, GA 30071
Phone (404) 900-9583
3470 McClure Bridge Rd
Unit 621
Duluth, GA 30096
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor |
101Y00000X | |||
| Addiction (Substance Use Disorder) Counselor |
101YA0400X | |||
| Mental Health Counselor |
101YM0800X | |||
| Pastoral Counselor |
101YP1600X | |||
| Professional Counselor |
101YP2500X | Yes | ||
| Marriage & Family Therapist |
106H00000X |
Addresses
Primary practice location
4720 Peachtree Industrial Blvd
Ste 4201
Berkley Lake, GA 30071
Mailing address
3470 McClure Bridge Rd
Ste 621
Duluth, GA 30096
Phone (404) 900-9586
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003299810A | Medicaid | GA |
Other names
- Out of the Box Counseling, Coaching, and Consulting
Other providers in Berkley Lake, GA
All providers in Berkley Lake, GA · Professional Counselor in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 5, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.