Organization Active NPI

A White Therapy Group, LLC

  • Mental Health Counselor
  • Peachtree Corners, GA
National Provider Identifier
1720405376
Registry record updated Jun 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
006969 Issued in GA
Legal business name
A WHITE THERAPY GROUP, LLC
Practice address
3295 River Exchange Dr Ste 302
Peachtree Corners, GA 30092-4238
Phone
(404) 539-4110
NPI assigned
Mar 20, 2014
Last updated
Jun 24, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2019

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

Authorized official

Name
Prof. Adrienne D. White, LPCNPI 1306146311
Title
Ceo
Phone
(404) 539-4110

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
Mental Health Counselor 101YM0800X 006969 GA Primary

Addresses

Primary practice location

3295 River Exchange Dr Ste 302
Peachtree Corners, GA 30092-4238

Mailing address

3295 River Exchange Dr Ste 302
Peachtree Corners, GA 30092-4238
Phone (404) 539-4110

Other practice location 1

3295 River Exchange Dr Ste 302
Peachtree Corners, GA 30092-4238
Phone (404) 539-4110

Other names 1

  • A W Counseling Services Other name

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1395273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1720405376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 302",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924238",
            "telephone_number": "404-539-4110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 302",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924238",
            "telephone_number": "404-539-4110"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3295 River Exchange Dr Ste 302",
            "address_purpose": "LOCATION",
            "city": "Peachtree Corners",
            "state": "GA",
            "postal_code": "300924238",
            "country_code": "US",
            "telephone_number": "404-539-4110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "A WHITE THERAPY GROUP, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-20",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "WHITE",
        "authorized_official_first_name": "ADRIENNE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-539-4110",
        "authorized_official_name_prefix": "Prof.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "GA",
            "license": "006969",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "A W Counseling Services",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "A W Counseling Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Peachtree Corners, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.