NPIMap

Organization Active NPI

The Real Therapists of Atlanta, LLC.

  • Community Health Clinic/Center
  • Palmetto, GA
National Provider Identifier
1710596994
Registry record updated Jul 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health Clinic/CenterTaxonomy code 261QC1500X
Legal business name
THE REAL THERAPISTS OF ATLANTA, LLC.
Practice address
626 Main St
Palmetto, GA 30268-1141
Phone
(678) 898-4941
Fax
(678) 818-4619
NPI assigned
Jul 23, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2020

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

Authorized official

Name
Dr. Tara Miller, PH.D., NCC, LPC,NPI 1316077738
Title
Therapist
Phone
(678) 898-4941

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
Community Health Clinic/Center 261QC1500X Primary

Addresses

Primary practice location

626 Main St
Palmetto, GA 30268-1141

Mailing address

626 Main St
Palmetto, GA 30268-1141
Phone (678) 898-4941

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Palmetto Direct

National Provider Directory

National Provider Directory

Locations

626 Main St
Palmetto, GA 30268
Phone (678) 898-4941

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": "1595462400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1595462400000",
    "number": "1710596994",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "626 MAIN ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681141",
            "telephone_number": "678-898-4941",
            "fax_number": "678-818-4619"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "626 MAIN ST",
            "city": "PALMETTO",
            "state": "GA",
            "postal_code": "302681141",
            "telephone_number": "678-898-4941",
            "fax_number": "678-818-4619"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE REAL THERAPISTS OF ATLANTA, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-07-23",
        "last_updated": "2020-07-23",
        "certification_date": "2020-07-23",
        "status": "A",
        "authorized_official_last_name": "MILLER",
        "authorized_official_first_name": "TARA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "678-898-4941",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., NCC, LPC,"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Palmetto",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PALMETTO",
            "address_1": "626 Main St",
            "city": "Palmetto",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302681141",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Palmetto, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 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.