Conscious Living Therapy Services LLC

Primary specialty

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

Legal business name

CONSCIOUS LIVING THERAPY SERVICES LLC

Doing business as

Conscious Living Therapy Services

Practice address

1441 Woodmont LN NW # 1988
Atlanta, GA 30318-2866

Phone

(901) 604-7463

NPI assigned

Mar 16, 2021

Last updated

Mar 23, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Brian Austin Teal, LCSWNPI 1215285028

Title

Owner

Phone

(901) 604-7463

Specialties & licenses 1

Addresses

Other names 1

• Conscious Living Therapy Services Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

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.

• Brian Austin Teal, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1215285028
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1615852800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616457600000",
    "number": "1841875333",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WOODMONT LN NW # 1988",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "901-604-7463"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1441 WOODMONT LN NW # 1988",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "901-604-7463"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CONSCIOUS LIVING THERAPY SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-03-16",
        "last_updated": "2021-03-23",
        "certification_date": "2021-03-23",
        "status": "A",
        "authorized_official_last_name": "TEAL",
        "authorized_official_first_name": "BRIAN",
        "authorized_official_middle_name": "AUSTIN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-604-7463",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW"
    },
    "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": [
        {
            "organization_name": "Conscious Living Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Conscious Living Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• John Philip Connors III, MD
• Douglas Conover, CRNA
• Desiree' Conrad, MD
• Margaret Adele Conrad
• Sarah Conrad
• Emmanuela C Conseillant, NP-BC
• Consist Health Care Inc
• Elizabeth Consky, DDS
• Consolidated Critical Care, Inc. (Home Medical)
• Cristian Constantin

• Mental Health Clinic/Center (Including Community Mental Health Center) in Atlanta, GA
• Providers in Atlanta, 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 Mar 23, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.