Wellformed AI

NPI 1821608555 · live from the CMS NPI Registry

Ba Group LLC

Counselor, Professional in East Point, GA. National Provider Identifier 1821608555, active.

NPI record

NPI1821608555 Type 2 · organization
StatusActive
Primary specialtyCounselor, Professional 101YP2500X
Practice location1514 Cleveland Ave, East Point, GA 30344
Practice phone477-329-0110
Mailing address535 Effingham Hwy, Sylvania, GA 30467
EnumeratedAugust 7, 2020
Last updatedSeptember 20, 2026
Authorized officialKenyotta Hannah, Ceo

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Professional primary101YP2500X—
Behavior Analyst103K00000X—
Psychologist, Clinical103TC0700X—
Social Worker, Clinical1041C0700X—
Marriage & Family Therapist106H00000X—
Psychiatry & Neurology, Psychiatry2084P0800X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.