Organization Active NPI

Care of the Mind, LLC

  • Clinical Social Worker
  • Alpharetta, GA
National Provider Identifier
1669108346
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CARE OF THE MIND, LLC
Practice address
10945 State Bridge Rd
Alpharetta, GA 30022
Phone
(678) 561-7417
NPI assigned
Jul 26, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Authorized official

Name
Sara Young, LCSWNPI 1821303603
Title
Organizer/Owner
Phone
(678) 561-7417

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

10945 State Bridge Rd
Alpharetta, GA 30022

Mailing address

11585 Jones Bridge Rd Ste. 420, PMB 1168
Johns Creek, GA 30022-7476
Phone (678) 561-7417

National Provider Directory

National Provider Directory

Locations

10945 State Bridge Rd
Johns Creek, GA 30022
Phone (770) 619-2066

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": "1658793600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658793600000",
    "number": "1669108346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11585 JONES BRIDGE RD STE. 420, PMB 1168",
            "city": "JOHNS CREEK",
            "state": "GA",
            "postal_code": "300227476",
            "telephone_number": "678-561-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10945 STATE BRIDGE RD",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "30022",
            "telephone_number": "678-561-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARE OF THE MIND, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "YOUNG",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "ORGANIZER/OWNER",
        "authorized_official_telephone_number": "678-561-7417",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 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.