Out of the Woods LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

LPC007860 Issued in GA

Legal business name

OUT OF THE WOODS LLC

Practice address

124 S Main St
Suite 2J
Jonesboro, GA 30236-3599

Phone

(571) 447-2539

NPI assigned

Nov 26, 2016

Organization subpart

No

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

Authorized official

Name

Cynthia Adeniyi

Title

Owner

Phone

(571) 447-2539

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1480118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1480118400000",
    "number": "1700329646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "address_2": "SUITE 2J",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363599",
            "telephone_number": "571-447-2539"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "124 S MAIN ST",
            "address_2": "SUITE 2J",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363599",
            "telephone_number": "571-447-2539"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT OF THE WOODS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-11-26",
        "last_updated": "2016-11-26",
        "status": "A",
        "authorized_official_last_name": "ADENIYI",
        "authorized_official_first_name": "CYNTHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "571-447-2539"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "LPC007860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2016; 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.