3Sixteen

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

3SIXTEEN

Practice address

2575 Hidden Wood LN
Lawrenceville, GA 30043-6813

Phone

(678) 271-8077

NPI assigned

Nov 16, 2020

Last updated

Nov 16, 2020By 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

Sequinta Riggsbee

Title

Consultant

Phone

(678) 525-0277

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1605484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605484800000",
    "number": "1487256251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2575 HIDDEN WOOD LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436813",
            "telephone_number": "678-271-8077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2575 HIDDEN WOOD LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300436813",
            "telephone_number": "678-271-8077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "3SIXTEEN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-16",
        "last_updated": "2020-11-16",
        "certification_date": "2020-11-16",
        "status": "A",
        "authorized_official_last_name": "RIGGSBEE",
        "authorized_official_first_name": "SEQUINTA",
        "authorized_official_title_or_position": "CONSULTANT",
        "authorized_official_telephone_number": "678-525-0277"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Mental Illness Community Based Residential Treatment Facility in Lawrenceville, GA
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• Mental Illness Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; 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.