Sophia Marie Artist, RN
Individual provider Active NPI Mental Health Clinic/Center (Including Community Mental Health Center) · Morrow, GA
NPI 1801530332 · NPPES record last updated Jun 16, 2022
Key facts
- NPI
- 1801530332
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X
- Practice address
- 7180 Southlake Pkwy
Morrow, GA 30260-4178 - Phone
- (770) 968-6994
- NPI assigned
- Apr 21, 2022
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN285743 | GA | MD | Community Health Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Your Parents Place | Meals | Current |
Accepting new patients |
| Your Parent'S Place | Respite Care | Past |
Accepting new patients |
Locations
7180 Southlake Pkwy
Morrow, GA 30260
Phone (770) 698-6994
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Administrator Registered Nurse | 163WA2000X | RN285743 | GA | |
| Community Health Registered Nurse | 163WC1500X | RN285743 | GA | |
| Continuing Education/Staff Development Registered Nurse | 163WC1600X | RN285743 | GA | |
| Meals Provider | 174200000X | |||
| Community/Behavioral Health Agency | 251S00000X | |||
| Adult Day Care Clinic/Center | 261QA0600X | |||
| Rural Health Clinic/Center | 261QR1300X | |||
| Respite Care | 385H00000X | |||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | Yes |
Addresses
Primary practice location
7180 Southlake Pkwy
Morrow, GA 30260-4178
Mailing address
3424 Baylor Cir
McDonough, GA 30253-6157
Phone (313) 742-6780
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | yourparentplace@gmail.com |
Other providers in Morrow, GA
- R Dale Anderson
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- Anytime First Call NP LLC
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- Yvette Monique Ash
- Leandra Ashby
- Assisted Healthy Support Services
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- Inigo Sabariaga Atienza
All providers in Morrow, GA · Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 16, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.