Patria Counseling LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PATRIA COUNSELING LLC

Practice address

3025 Bull St Ste 303
Savannah, GA 31405-2049

Phone

(912) 484-4054

NPI assigned

Oct 18, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Edward Parks, LCSW

Title

Sole MBR

Phone

(803) 594-3748

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539820800000",
    "number": "1851867774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3025 BULL ST STE 303",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052049",
            "telephone_number": "912-484-4054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 BULL ST STE 303",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314052049",
            "telephone_number": "912-484-4054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRIA COUNSELING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2018-10-18",
        "status": "A",
        "authorized_official_last_name": "PARKS",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "SOLE MBR",
        "authorized_official_telephone_number": "803-594-3748",
        "authorized_official_name_prefix": "Mr.",
        "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": []
}

• Vishala Patel, PHARM.D
• Pathway to Progress
• Patient Care Services LP
• Patient Tech LLC
• Lucy Patke
• Allison Patterson, CRNA
• Analicia Elaina Patterson, NP
• Ashley Patterson
• Christian Rosario Patti, DMD
• Paulsen OB GYN

• Clinical Social Worker in Savannah, GA
• Providers in Savannah, 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 Oct 18, 2018; 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.