Poinciana Recovery Institute

Primary specialty

Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X

Legal business name

POINCIANA RECOVERY INSTITUTE

Practice address

1301 Shiloh Rd NW
Suite 1531B
Kennesaw, GA 30144-7147

Phone

(404) 966-3557

NPI assigned

Jul 26, 2015

Organization subpart

No

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

Authorized official

Name

Mr. Kendrick Allen, LPC

Title

Officer

Phone

(404) 966-3557

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1437868800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1437868800000",
    "number": "1144605650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW",
            "address_2": "SUITE 1531B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "404-966-3557"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW",
            "address_2": "SUITE 1531B",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447147",
            "telephone_number": "404-966-3557"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POINCIANA RECOVERY INSTITUTE",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-26",
        "last_updated": "2015-07-26",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KENDRICK",
        "authorized_official_title_or_position": "OFFICER",
        "authorized_official_telephone_number": "404-966-3557",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hannah Pitts
• Harold Wendell Pitts, MD
• Plastic Surgery Associates
• Carmen Heather Plumb
• Ryan Pluta
• Robert Earl Poindexter Jr., DMD
• Lisa Vivienne Poling, NP
• Peter John Pomazon, D.M.D.
• Kathleen Poore
• Emily Danielle Pope, BCBA

• Adolescent and Children Mental Health Clinic/Center in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Adolescent and Children Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2015; 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.