Organization Active NPI

Obtain the Promise Services & Consulting LLC

Doing business as Obtain the Promise

  • Community/Behavioral Health Agency
  • Buford, GA
National Provider Identifier
1760086854
Registry record updated Dec 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
OBTAIN THE PROMISE SERVICES & CONSULTING LLC
Doing business as
Obtain the Promise
Practice address
3205 Woodward Crossing Blvd Ste F
Buford, GA 30519-4944
Phone
(470) 326-7482
NPI assigned
Nov 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2021

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

Authorized official

Name
Thomas L McClain II, LPCNPI 1548533144
Title
Owner
Phone
(704) 968-7163

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/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

3205 Woodward Crossing Blvd Ste F
Buford, GA 30519-4944

Mailing address

3205 Woodward Crossing Blvd Ste F
Buford, GA 30519-4944
Phone (704) 968-7163

Other practice location 1

3403 West T C Jester Blvd-1051
Houston, TX 77018
Phone (470) 326-7482

Other practice location 2

9480 Main St # 1041
Fairfax, VA 22031-4032
Phone (470) 326-7482

Other identifiers 2

IdentifierTypeStateIssuer
=========OtherGAIRS
003181398AMedicaidGA

Other names 1

  • Obtain the Promise Doing business as

National Provider Directory

National Provider Directory

Locations

3205 Woodward Crossing Blvd
Ste F
Buford, GA 30519
Phone (470) 326-7482

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": "1606694400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1639958400000",
    "number": "1760086854",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3205 WOODWARD CROSSING BLVD STE F",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194944",
            "telephone_number": "704-968-7163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3205 WOODWARD CROSSING BLVD STE F",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305194944",
            "telephone_number": "470-326-7482"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3403 West T C Jester Blvd-1051",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "77018",
            "country_code": "US",
            "telephone_number": "470-326-7482",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9480 Main St # 1041",
            "address_purpose": "LOCATION",
            "city": "Fairfax",
            "state": "VA",
            "postal_code": "220314032",
            "country_code": "US",
            "telephone_number": "470-326-7482",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "OBTAIN THE PROMISE SERVICES & CONSULTING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-30",
        "last_updated": "2021-12-20",
        "certification_date": "2021-12-20",
        "status": "A",
        "authorized_official_last_name": "MCCLAIN",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-968-7163",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "IRS",
            "identifier": "=========",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003181398A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Obtain the Promise",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Obtain the Promise",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Buford, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2021; 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.