Elizabeth Chalk

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

001142 Issued in GA

Practice address

2440 Sandy Plains Rd
BLDG 13 Ste 300
Marietta, GA 30066-7217

Phone

(770) 971-9311

NPI assigned

Dec 22, 2009

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Libby Chalk Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1261440000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1261440000000",
    "number": "1760711709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 GILHAMS RD NE",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300751905",
            "telephone_number": "404-932-6651",
            "fax_number": "678-952-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2440 SANDY PLAINS RD",
            "address_2": "BLDG 13 STE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300667217",
            "telephone_number": "770-971-9311"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHALK",
        "first_name": "ELIZABETH",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-12-22",
        "last_updated": "2009-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "001142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LIBBY",
            "last_name": "CHALK",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Veer Chahwala
• Zhijin Chai, M.D.
• Neha Chakravarti, DMD
• Elias Chalhoub, M.D.
• Ryan Chaliff, DDS, MD
• Michelle Chambless, DPT
• Annie-Kate Elizabeth Champagne
• James Chan, D.C.
• Bethany Paige Chandler, MS, ATC
• Johnny Brent Chandler

• Marriage & Family Therapist in Marietta, GA
• Providers in Marietta, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2009; 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.