Mayo Therapeutic Interventions LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MAYO THERAPEUTIC INTERVENTIONS LLC

Practice address

309 Pirkle Ferry Rd Ste C200
Cumming, GA 30040-2550

Phone

(770) 653-4531

Fax

(770) 764-1265

NPI assigned

Jun 10, 2024

Organization subpart

No

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

Authorized official

Name

Amanda Mayo, LPC, NCCNPI 1558011189

Title

Owner

Phone

(770) 653-4531

Specialties & licenses 1

Addresses

Tax ID family

Mayo Therapeutic Interventions LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mayo Therapeutic Interventions LLC

  • Mental Health Counselor
  • Cumming, GA
  • NPI 1225955644
  NPD tax ID

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amanda F Mayo, MS, NCC, LPC

  • Professional Counselor
  • Cumming, GA
  • NPI 1558011189
  NPD Authorized official
• Stephen Mayo, DPT

  • Physical Therapist
  • Cumming, GA
  • NPI 1427740430
  NPD

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717977600000",
    "number": "1790527885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "309 PIRKLE FERRY RD STE C200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402550",
            "telephone_number": "770-653-4531",
            "fax_number": "770-764-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PIRKLE FERRY RD STE C200",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300402550",
            "telephone_number": "770-653-4531",
            "fax_number": "770-764-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAYO THERAPEUTIC INTERVENTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A",
        "authorized_official_last_name": "MAYO",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-653-4531",
        "authorized_official_credential": "LPC, NCC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxfield Medical Direct Primary Care, LLC
• Maxfield Medical LLC
• Maxx Solutions Brokerage, Inc (Maxx Healthcare)
• Amanda Mayfield
• Mayo Therapeutic Interventions LLC
• Amanda F Mayo, MS, NCC, LPC
• Jesse Ray Mayo, FNP-C
• Stephen Mayo, DPT
• Dylan McCarter, ATC
• Timothy Patrick McCarthy, MD

• Mental Health Clinic/Center (Including Community Mental Health Center) in Cumming, GA
• Providers in Cumming, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2024; 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.