Let'S Retreat LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LET'S RETREAT LLC

Practice address

2048 Sanderlings Dr NW
Kennesaw, GA 30152-5816

Phone

(404) 277-1474

NPI assigned

Jun 11, 2024

Organization subpart

No

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

Authorized official

Name

Kori M Nuzum, OTR/LNPI 1083207831

Title

Occupational Therapist

Phone

(404) 277-1474

Specialties & licenses 1

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kori Nuzum, OTR/L

  • Occupational Therapist
  • Kennesaw, GA
  • NPI 1083207831
  NPD Authorized official

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

{
    "created_epoch": "1718064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718064000000",
    "number": "1295577062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2048 SANDERLINGS DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525816",
            "telephone_number": "404-277-1474"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2048 SANDERLINGS DR NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301525816",
            "telephone_number": "404-277-1474"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LET'S RETREAT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-11",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A",
        "authorized_official_last_name": "NUZUM",
        "authorized_official_first_name": "KORI",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "404-277-1474",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Nina Joyce Levasseur, RDN
• Stacey Levison, FNP-C
• Noa E Levy, PT, DPT
• Brandi Lewis, M.D.

• Community/Behavioral Health Agency in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2024; 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.