Arbor Cove Therapy LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

CSW003510 Issued in GA

Legal business name

ARBOR COVE THERAPY LLC

Practice address

555 Sun Valley Dr Ste L1
Roswell, GA 30076-5630

Phone

(404) 394-1096

Fax

(404) 990-3531

NPI assigned

Jul 26, 2016

Last updated

Aug 25, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Laura Kathryn Smith, LCSWNPI 1720211063

Title

Owner

Phone

(770) 367-1235

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Laura Kathryn Smith, LCSW

  • Clinical Social Worker
  • Roswell, GA
  • NPI 1720211063
  Authorized official Same address or phone
• Lee Anne Anne Dickerson, LCP

  • Psychologist
  • Roswell, GA
  • NPI 1184732307
  NPD
• Susan Payne Richardson, LPC

  • Professional Counselor
  • Roswell, GA
  • NPI 1033727052
  NPD

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661385600000",
    "number": "1720531767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE L1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765630",
            "telephone_number": "404-394-1096",
            "fax_number": "404-990-3531"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "555 SUN VALLEY DR STE L1",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300765630",
            "telephone_number": "404-394-1096",
            "fax_number": "404-990-3531"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARBOR COVE THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-26",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "KATHRYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-367-1235",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "GA",
            "license": "CSW003510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Brian Archipley, MAAS, MAS
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• Jonathan E Arkin, DC
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• Clinical Social Worker in Roswell, GA
• Providers in Roswell, 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 Aug 25, 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.