Recovery LGBT Inc.

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LPC009051 Issued in GA

Legal business name

RECOVERY LGBT INC.

Practice address

3011 Rainbow Dr Ste 308
Decatur, GA 30034-1681

Phone

(404) 769-1118

NPI assigned

Aug 17, 2018

Organization subpart

No

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

Authorized official

Name

J.D. Weidner

Title

Ceo

Phone

(404) 769-1118

Specialties & licenses 1

Addresses

Other names 1

• Dog House ATL GLBT Recovery Inc Former legal business name

Locations

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

{
    "created_epoch": "1534464000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1534464000000",
    "number": "1861972952",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3011 RAINBOW DR STE 308",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341681",
            "telephone_number": "404-769-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3011 RAINBOW DR STE 308",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300341681",
            "telephone_number": "404-769-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RECOVERY LGBT INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-17",
        "last_updated": "2018-08-17",
        "status": "A",
        "authorized_official_last_name": "WEIDNER",
        "authorized_official_first_name": "J.D.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-769-1118"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "GA",
            "license": "LPC009051",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dog House ATL GLBT Recovery Inc",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Cheryl Rease
• Katharine Perry Rebillot, PA-C
• Rebyrth Wellness LLC
• Recovery Consultants of Atlanta, Inc.
• Recovery LGBT Counseling LLC
• Redbud Counseling Services LLC
• Amy Elizabeth Redd, PSY.D.
• Amita Reddy
• Keerthi Dasari Reddy
• Margaret Ann Redus, LCSW

• Professional Counselor in Decatur, GA
• Providers in Decatur, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2018; 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.