Provider Demographics
NPI:1033401633
Name:TTB HEALTH CONSULTING, LLC
Entity Type:Organization
Organization Name:TTB HEALTH CONSULTING, LLC
Other - Org Name:THE AQUARIA GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAVARI
Authorized Official - Middle Name:T
Authorized Official - Last Name:BROWN
Authorized Official - Suffix:
Authorized Official - Credentials:LAPC, MPH, NCC,
Authorized Official - Phone:678-281-1626
Mailing Address - Street 1:5452 PO BOX
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:31107
Mailing Address - Country:US
Mailing Address - Phone:678-281-1626
Mailing Address - Fax:
Practice Address - Street 1:2001 SHAWN WAYNE CIR SE
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30316-3789
Practice Address - Country:US
Practice Address - Phone:678-281-1626
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-05-14
Last Update Date:2012-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA101YM0800X, 251B00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
No251B00000XAgenciesCase Management
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty