CMH Psychotherapy Practice, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

CMH PSYCHOTHERAPY PRACTICE, LLC

Practice address

100 Spring St Ste C
Gainesville, GA 30501-2565

Phone

(770) 540-2490

NPI assigned

Mar 12, 2021

Organization subpart

No

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

Authorized official

Name

Carol Murphy Holzhalb, CSW, PHD

Title

Owner

Phone

(770) 540-2490

Specialties & licenses 1

Addresses

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1615507200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1615507200000",
    "number": "1659956464",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 907421",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305010908",
            "telephone_number": "770-271-8873"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 SPRING ST STE C",
            "city": "GAINESVILLE",
            "state": "GA",
            "postal_code": "305012565",
            "telephone_number": "770-540-2490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CMH PSYCHOTHERAPY PRACTICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-12",
        "last_updated": "2021-03-12",
        "certification_date": "2021-03-12",
        "status": "A",
        "authorized_official_last_name": "HOLZHALB",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "MURPHY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-540-2490",
        "authorized_official_credential": "CSW, PHD"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Buford",
            "affiliation": "N",
            "address_1": "100 Spring St Ste C",
            "city": "Gainesville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "305012565",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jordan Daniel Clevenger, PA-C
• Mary Ann Clever, RD, LD
• Karlie Clifton
• Rachel Clifton, CAA
• Clinica Medica Georgia LLC
• CMS Counseling, LLC
• CN5, LLC
• Daniel Lamar Cobb, MD
• Emily Coburn, LMFT
• Paige R Cocco, AGACNP

• Clinical Social Worker in Gainesville, GA
• Providers in Gainesville, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2021; 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.