Organization Active NPI

Diamond Nourish LLC

  • Psychiatric Residential Treatment Facility
  • Braselton, GA
National Provider Identifier
1174499644
Registry record updated Oct 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Residential Treatment FacilityTaxonomy code 323P00000X
Legal business name
DIAMOND NOURISH LLC
Practice address
639 Davenport Rd
Braselton, GA 30517-2050
Phone
(888) 568-3230
NPI assigned
Oct 13, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2025

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

Authorized official

Name
Adam Multz
Title
Ceo / Owner
Phone
(844) 909-2525

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Psychiatric Residential Treatment Facility 323P00000X Primary

Addresses

Primary practice location

639 Davenport Rd
Braselton, GA 30517-2050

Mailing address

6909 SW 18TH St Ste 203a
Boca Raton, FL 33433-7078

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
11D2330255Diamond Nourish LLC639 Davenport Road, Braselton, GA 30517Certificate of waiverSep 11, 2027

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1760313600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1761782400000",
    "number": "1174499644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6909 SW 18TH ST STE 203A",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334337078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 DAVENPORT RD",
            "city": "BRASELTON",
            "state": "GA",
            "postal_code": "305172050",
            "telephone_number": "888-568-3230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DIAMOND NOURISH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-13",
        "last_updated": "2025-10-30",
        "certification_date": "2025-10-30",
        "status": "A",
        "authorized_official_last_name": "MULTZ",
        "authorized_official_first_name": "ADAM",
        "authorized_official_title_or_position": "CEO / OWNER",
        "authorized_official_telephone_number": "844-909-2525"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "323P00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Residential Treatment Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Braselton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.