Second Wind Recovery, LLC

Primary specialty

Mental Health CounselorTaxonomy code 101YM0800X

Legal business name

SECOND WIND RECOVERY, LLC

Practice address

3748 Upland Dr
Marietta, GA 30066-3059

Phone

(770) 977-9155

NPI assigned

Nov 18, 2014

Organization subpart

No

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

Authorized official

Name

Rodney Lanxton

Title

Cfo

Phone

(770) 853-5612

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1416268800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1416268800000",
    "number": "1184020158",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3748 UPLAND DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663059",
            "telephone_number": "770-977-9155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3748 UPLAND DR",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300663059",
            "telephone_number": "770-977-9155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND WIND RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-11-18",
        "last_updated": "2014-11-18",
        "status": "A",
        "authorized_official_last_name": "LANXTON",
        "authorized_official_first_name": "RODNEY",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "770-853-5612"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Health Counselor in Marietta, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2014; 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.