Sacred Mountain Partners, LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

003408 Issued in GA

Legal business name

SACRED MOUNTAIN PARTNERS, LLC

Doing business as

First Mountain Community Services

Practice address

340 Pine Crest Rd
Jasper, GA 30143-2662

Phone

(404) 808-7740

NPI assigned

Jun 26, 2007

Organization subpart

No

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

Authorized official

Name

Melanie Ann Dallas, LPCNPI 1144482266

Title

Executive Director

Phone

(706) 692-0131

Specialties & licenses 1

Addresses

Other names 1

• First Mountain Community Services Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melanie Ann Dallas, LPC

  • Professional Counselor
  • Jasper, GA
  • NPI 1144482266
  NPD (past) Authorized official

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

{
    "created_epoch": "1182816000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669678413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 PINE CREST RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301432662",
            "telephone_number": "404-808-7740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 PINE CREST RD",
            "city": "JASPER",
            "state": "GA",
            "postal_code": "301432662",
            "telephone_number": "404-808-7740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SACRED MOUNTAIN PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "DALLAS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "706-692-0131",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "003408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "First Mountain Community Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Rocky Mountain Holdings, LLC
• Joel A Rosenfeld, M.D.
• Michael Turner Rumble, MD
• Rural Urgent Care LLC
• Richard A Ryder, MD
• Jill Anne Saranthus, FNP
• Joan Satterfield, WHNP
• Andy James Sauls, RPH
• Errol Scarlett, DPM
• Ashley Townes Scheaffer, FNP

• Professional Counselor in Jasper, GA
• Providers in Jasper, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.