Be Fantastic LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BE FANTASTIC LLC

Practice address

2302 Parklake Dr NE Ste 511
Atlanta, GA 30345-2974

Phone

(404) 630-5859

NPI assigned

May 11, 2024

Organization subpart

No

Name

Christie Peters, LCSW

Title

Licensed Clinical Social Worker

Phone

(404) 630-5859

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 11, 2024.

{
    "created_epoch": "1715385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715385600000",
    "number": "1831947019",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1451",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301331451",
            "telephone_number": "404-630-5859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 PARKLAKE DR NE STE 511",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452974",
            "telephone_number": "404-630-5859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BE FANTASTIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-11",
        "last_updated": "2024-05-11",
        "certification_date": "2024-05-10",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "CHRISTIE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "404-630-5859",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Atlanta, GA
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 11, 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.