Organization Active NPI

Integrative Consulting Services

  • Clinical Social Worker
  • Douglasville, GA
National Provider Identifier
1982204673
Registry record updated Oct 30, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
INTEGRATIVE CONSULTING SERVICES
Practice address
7421 Douglas Blvd Ste N315
Douglasville, GA 30135-1564
Phone
(770) 240-0022
NPI assigned
Oct 30, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2020

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

Authorized official

Name
Toccara Hudson, LCSW
Title
Owner
Phone
(770) 240-0022

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7421 Douglas Blvd Ste N315
Douglasville, GA 30135-1564

Mailing address

7421 Douglas Blvd Ste N315
Douglasville, GA 30135-1564
Phone (770) 240-0022

Other identifiers 1

IdentifierTypeStateIssuer
CSW007240OtherGAGA BOARD OF PROF COUNSELORS, SOCIAL WORKERS , MARRIAGE & FAMILY THERAPISTS

Other names 1

  • Cultivated Hearts Doing business as

National Provider Directory

National Provider Directory

Locations

7421 Douglas Blvd
Ste N315
Douglasville, GA 30135
Phone (770) 240-0022

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1604016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1604016000000",
    "number": "1982204673",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7421 DOUGLAS BLVD STE N315",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351564",
            "telephone_number": "770-240-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7421 DOUGLAS BLVD STE N315",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301351564",
            "telephone_number": "770-240-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTEGRATIVE CONSULTING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-30",
        "last_updated": "2020-10-30",
        "certification_date": "2020-10-30",
        "status": "A",
        "authorized_official_last_name": "HUDSON",
        "authorized_official_first_name": "TOCCARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-240-0022",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA BOARD OF  PROF COUNSELORS, SOCIAL WORKERS , MARRIAGE & FAMILY THERAPISTS",
            "identifier": "CSW007240",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cultivated Hearts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Douglasville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2020; 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.