Lavender Grove Psychotherapy
NPI 1407465354 · Clinical Social Worker · Atlanta, GA
Lavender Grove Psychotherapy is a Clinical Social Worker organization in Atlanta, GA (NPI 1407465354).
Provider details
- NPI number
- 1407465354
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Extriara Gates, Psychotherapist/ Owner(404) 490-0031
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-07-27
- Last updated
- 2020-07-27
- Certified
- 2020-07-27
Frequently asked questions
- What is Lavender Grove Psychotherapy's NPI number?
- Lavender Grove Psychotherapy's National Provider Identifier (NPI) is 1407465354, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lavender Grove Psychotherapy?
- Lavender Grove Psychotherapy is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Lavender Grove Psychotherapy located?
- Lavender Grove Psychotherapy's practice location on file with NPPES is 3755 Redwine Rd, Atlanta, GA 30344-5899.
- What is Lavender Grove Psychotherapy's phone number?
- The practice phone number listed in the NPPES registry for Lavender Grove Psychotherapy is (404) 490-0031.
- Who is the authorized official for Lavender Grove Psychotherapy?
- The authorized official listed on Lavender Grove Psychotherapy's NPPES record is Extriara Gates, Psychotherapist/ Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lavender Grove Psychotherapy's NPI active?
- Yes — Lavender Grove Psychotherapy's NPI (1407465354) is active in the NPPES registry as of the last update on 2020-07-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.