Instinct Center LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

INSTINCT CENTER LLC

Practice address

Instinct Center LLC,
10892, Crabapple Rd, Ste.2
Roswell, GA 30075

Phone

(140) 455-0997

NPI assigned

Aug 27, 2024

Last updated

Aug 27, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Roger Andresen

Title

Founder

Phone

(140) 455-0997

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1724716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1306670054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "INSTINCT CENTER LLC,",
            "address_2": "10892, CRABAPPLE RD, STE.2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "INSTINCT CENTER LLC,",
            "address_2": "10892, CRABAPPLE RD, STE.2",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "30075",
            "telephone_number": "140-455-0997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSTINCT CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-27",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-19",
        "status": "A",
        "authorized_official_last_name": "ANDRESEN",
        "authorized_official_first_name": "ROGER",
        "authorized_official_title_or_position": "FOUNDER",
        "authorized_official_telephone_number": "140-455-0997",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Roswell, GA
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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.