Reboot Psychotherapy LLC

Primary specialty

Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X

License

006281 Issued in GA

Legal business name

REBOOT PSYCHOTHERAPY LLC

Practice address

1111 Wynford CMNS SW
Marietta, GA 30064-3776

Phone

(704) 756-5770

NPI assigned

Jun 4, 2018

Organization subpart

No

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

Authorized official

Name

Miss Kimberlee Jones, LCSW

Title

Licensed Clinical Social Worker

Phone

(704) 756-5770

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1528070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1528070400000",
    "number": "1245722420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1111 WYNFORD CMNS SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643776",
            "telephone_number": "704-756-5770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 WYNFORD CMNS SW",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300643776",
            "telephone_number": "704-756-5770"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBOOT PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-04",
        "last_updated": "2018-06-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KIMBERLEE",
        "authorized_official_title_or_position": "LICENSED CLINICAL SOCIAL WORKER",
        "authorized_official_telephone_number": "704-756-5770",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "GA",
            "license": "006281",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Reach Higher Psychological Services LLC
• Victoria Reaid, RBT
• Jessica Powley Reale, PT
• Cristina Reale', NP-C
• Jeremy Roy Reardon, MD, MPH
• Christopher Adam Rechter, D.C.
• Rebecca Recinos
• Recovery DBT
• Recovery Solutions, PC
• Robert John Rectenwald Jr., D.C.

• Adult Mental Health Clinic/Center in Marietta, GA
• Providers in Marietta, GA by specialty
• Adult Mental Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2018; 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.