Organization Active NPI

Open Door Consultants LLC

  • Substance Use Disorder Rehabilitation Clinic/Center
  • Marietta, GA
National Provider Identifier
1720384084
Registry record updated Feb 3, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X
License
C0039 Issued in GA
Legal business name
OPEN DOOR CONSULTANTS LLC
Practice address
2759 Delk Rd SE
Suite 1025
Marietta, GA 30067-8847
Phone
(770) 612-0015
Fax
(770) 612-0015
NPI assigned
Feb 3, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2011

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

Authorized official

Name
Ms. Pinkey Carden, CCADC, R.N.
Title
Administrator
Phone
(770) 612-0015

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X C0039 GA Primary

Addresses

Primary practice location

2759 Delk Rd SE
Suite 1025
Marietta, GA 30067-8847

Mailing address

2759 Delk Rd SE
Suite 1025
Marietta, GA 30067-8847
Phone (770) 612-0015

National Provider Directory

National Provider Directory

Locations

2759 Delk Rd SE
Ste 1025
Marietta, GA 30067
Phone (770) 612-0015

NPI Registry JSON

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

{
    "created_epoch": "1296691200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1296691200000",
    "number": "1720384084",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2759 DELK RD SE",
            "address_2": "SUITE 1025",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678847",
            "telephone_number": "770-612-0015",
            "fax_number": "770-612-0015"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2759 DELK RD SE",
            "address_2": "SUITE 1025",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300678847",
            "telephone_number": "770-612-0015",
            "fax_number": "770-612-0015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OPEN DOOR CONSULTANTS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-02-03",
        "last_updated": "2011-02-03",
        "status": "A",
        "authorized_official_last_name": "CARDEN",
        "authorized_official_first_name": "PINKEY",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "770-612-0015",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CCADC, R.N."
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": "GA",
            "license": "C0039",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2011; 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.