Psychotherapy Collective of Atlanta LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PSYCHOTHERAPY COLLECTIVE OF ATLANTA LLC

Practice address

1445 Woodmont LN NW Ste 4962
Atlanta, GA 30318-2866

Phone

(678) 921-9969

NPI assigned

Sep 11, 2023

Last updated

Sep 15, 2026By 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

Alex Kyle Allen, LCSWNPI 1164038394

Title

Clinical Director

Phone

(678) 921-9969

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 4

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.

• Alex Kyle Allen, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1164038394
  Medicare reassignment Care Compare group NPD Authorized official
• Jordan Gulbranson, LCSW

  • Clinical Social Worker
  • Hoschton, GA
  • NPI 1083417570
  Medicare reassignment Care Compare group
• Rashin William Fitzgerald Richardson, LMSW, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1154208866
  Medicare reassignment NPD
• Sylvia Ware, LCSW

  • Clinical Social Worker
  • Brookhaven, GA
  • NPI 1083359863
  Medicare reassignment NPD

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1789430400000",
    "number": "1740067065",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 4962",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "678-921-9969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1445 WOODMONT LN NW STE 4962",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "678-921-9969"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PSYCHOTHERAPY COLLECTIVE OF ATLANTA LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-11",
        "last_updated": "2026-09-15",
        "certification_date": "2026-09-15",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "ALEX",
        "authorized_official_middle_name": "KYLE",
        "authorized_official_title_or_position": "CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "678-921-9969",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "104100000X",
            "taxonomy_group": "",
            "desc": "Social Worker",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Psychiatric Consultants of Atlanta
• Psychiatric Consultative Services, L.L.C.
• Psychiatry of Atlanta, Inc
• Psychological Diagnostic Center, LLC
• Psychological Services of Atlanta, LLC
• Psycologist Technology Inc
• PT Hills Place Terraces LLC (The Terraces at Peachtree Hills Place)
• PT Hills Place Terraces LLC (The Terraces at Peachtree Hills Place)
• PT Hills Place Terraces LLC (The Terraces at Peachtree Hills Place)
• PT Mamas, LLC

• Clinical Social Worker in Atlanta, GA
• Providers in Atlanta, 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 Sep 15, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.