Aspirational Visions for Traumatic Events

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ASPIRATIONAL VISIONS FOR TRAUMATIC EVENTS

Practice address

553 Tulip LN
McDonough, GA 30252-1039

Phone

(704) 699-1477

NPI assigned

Dec 5, 2017

Last updated

Dec 5, 2017By 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

Kristina Coles

Title

LCSW

Phone

(704) 699-1477

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1851806566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "553 TULIP LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521039",
            "telephone_number": "704-699-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "553 TULIP LN",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302521039",
            "telephone_number": "704-699-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASPIRATIONAL VISIONS FOR TRAUMATIC EVENTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "COLES",
        "authorized_official_first_name": "KRISTINA",
        "authorized_official_title_or_position": "LCSW",
        "authorized_official_telephone_number": "704-699-1477"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in McDonough, GA
• Providers in McDonough, GA by specialty
• Clinical Social Worker in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.