Annai Lopez Tavira Cruz, MFT, LMFT

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFT001573 Issued in GA

Practice address

6015 Atlantic Blvd Ste a
Norcross, GA 30071-1343

Phone

(770) 361-4607

NPI assigned

Jun 15, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other names 1

• Annai Tavira Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Expressive Therapy Institute LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Norcross, GA
  • NPI 1134638992
  NPD (past) Authorized official

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

{
    "created_epoch": "1465948800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1982054409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "824 WHITEHAVEN LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436666"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6015 ATLANTIC BLVD STE A",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300711343",
            "telephone_number": "770-361-4607"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2440 Sandy Plains Rd Bldg 25",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300667232",
            "country_code": "US",
            "telephone_number": "770-361-4607",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LOPEZ TAVIRA CRUZ",
        "first_name": "ANNAI",
        "credential": "MFT, LMFT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-06-15",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "GA",
            "license": "MFT001573",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANNAI",
            "last_name": "TAVIRA",
            "credential": "MFT, LMFT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

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• Maria Jose Lopes, DNP, CPNP-PC
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• Lorven Diagserv
• Marian Vanita Lott, CNM
• Dorothea Erdmuth Lotze-Kola, THM. LMFT
• Alleah Gayle Loucas

• Marriage & Family Therapist in Norcross, GA
• Providers in Norcross, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.