NPIMap

Organization Active NPI

Trillium Springs LLC

Doing business as Trillium Springs Counseling

  • Counselor
  • Marietta, GA
National Provider Identifier
1821221425
Registry record updated Aug 29, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
License
LPC004368 Issued in GA
Legal business name
TRILLIUM SPRINGS LLC
Doing business as
Trillium Springs Counseling
Practice address
1640 Powers Ferry Rd SE
Building 16 Suite 300
Marietta, GA 30067-5491
Phone
(404) 310-6120
Fax
(770) 612-1999
NPI assigned
Aug 29, 2009
Last updated
Aug 29, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2009

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

Authorized official

Name
Vilda S Brannen, M.S., L.P.C.NPI 1740373711
Title
Director
Phone
(404) 310-6120

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X LPC004368 GA Primary

Addresses

Primary practice location

1640 Powers Ferry Rd SE
Building 16 Suite 300
Marietta, GA 30067-5491

Mailing address

1640 Powers Ferry Rd SE
Building 16 Suite 300
Marietta, GA 30067-5491
Phone (404) 310-6120

Other names 1

  • Trillium Springs Counseling Doing business as

National Provider Directory

National Provider Directory

Locations

1640 Powers Ferry Rd SE
Bldg 16
Marietta, GA 30067
Phone (404) 226-0665

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1251504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251504000000",
    "number": "1821221425",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BUILDING 16 SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "404-310-6120"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1640 POWERS FERRY RD SE",
            "address_2": "BUILDING 16 SUITE 300",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300675491",
            "telephone_number": "404-310-6120",
            "fax_number": "770-612-1999"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRILLIUM SPRINGS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-29",
        "last_updated": "2009-08-29",
        "status": "A",
        "authorized_official_last_name": "BRANNEN",
        "authorized_official_first_name": "VILDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-310-6120",
        "authorized_official_credential": "M.S., L.P.C."
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "GA",
            "license": "LPC004368",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Trillium Springs Counseling",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 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.