Organization Active NPI

Connect Grow Thrive LLC

  • Mental Health Counselor
  • Peachtree Corners, GA
National Provider Identifier
1750976098
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
CONNECT GROW THRIVE LLC
Practice address
3295 River Exchange Dr Ste 125
Peachtree Corners, GA 30092-4248
Phone
(803) 667-4406
Fax
(803) 486-2506
NPI assigned
Mar 9, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

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

Authorized official

Name
Dr. Thomasina Odom Lawson, LPCNPI 1538415724
Title
Owner
Phone
(803) 667-4406

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 CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary

Addresses

Primary practice location

3295 River Exchange Dr Ste 125
Peachtree Corners, GA 30092-4248

Mailing address

1705 Richland St Ste C
Columbia, SC 29201-2635
Phone (803) 667-4406

Other practice location 1

1700 Northside Drive
Suite A7, Unit #6112
Atlanta, GA 30318-2695
Phone (803) 667-4406

National Provider Directory

National Provider Directory

Locations

3295 River Exchange Dr
Ste 125
Peachtree Corners, GA 30092
Phone (347) 938-9246

1705 Richland St
Ste C
Columbia, SC 29201
Phone (803) 667-4406

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": "1615248000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1750976098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 RICHLAND ST STE C",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012635",
            "telephone_number": "803-667-4406",
            "fax_number": "803-486-2506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3295 RIVER EXCHANGE DR STE 125",
            "city": "PEACHTREE CORNERS",
            "state": "GA",
            "postal_code": "300924248",
            "telephone_number": "803-667-4406",
            "fax_number": "803-486-2506"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Northside Drive",
            "address_2": "Suite A7, Unit #6112",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303182695",
            "country_code": "US",
            "telephone_number": "803-667-4406",
            "fax_number": "803-486-2506",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "CONNECT GROW THRIVE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-09",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "THOMASINA",
        "authorized_official_middle_name": "ODOM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "803-667-4406",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jul 5, 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.