Swccounseling

Primary specialty

Psychiatric Hospital UnitTaxonomy code 273R00000X

License

LPC008645 Issued in GA

Legal business name

SWCCOUNSELING

Practice address

814 Mimosa Blvd
BLDG C
Roswell, GA 30075-4410

Phone

(678) 680-8731

NPI assigned

Jan 26, 2016

Organization subpart

No

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

Authorized official

Name

Vera Holloway

Title

Owner

Phone

(770) 469-0124

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1453766400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1453766400000",
    "number": "1982061545",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4886 CANDLEWOOD LN",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300881606",
            "telephone_number": "770-469-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 MIMOSA BLVD",
            "address_2": "BLDG C",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300754410",
            "telephone_number": "678-680-8731"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SWCCOUNSELING",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-01-26",
        "last_updated": "2016-01-26",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "VERA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-469-0124"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "GA",
            "license": "LPC008645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Neima Nuru Surur, MD
• Sydney Mara Suss, DNP CRNA
• Jill Denise Sutkus, PT
• Nicholas B Swanner, MPT, GCS
• SWB Collective, LLC
• Sweet Apple Health Group
• Sweet Apple Medical Group
• Sweet Life Chiropractic
• Swift Dot and Wellness
• Humaira Syed, M.D.

• Psychiatric Hospital Unit in Roswell, GA
• Providers in Roswell, GA by specialty
• Psychiatric Hospital Unit in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2016; 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.