Organization Active NPI

Choices Behavioral Alternatives

  • Counselor
  • Lilburn, GA
National Provider Identifier
1891143244
Registry record updated May 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
CounselorTaxonomy code 101Y00000X
Legal business name
CHOICES BEHAVIORAL ALTERNATIVES
Practice address
4037 Darling Court
Suite B
Lilburn, GA 30047
Phone
(770) 681-2303
NPI assigned
May 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 26, 2016

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

Authorized official

Name
Mr. Larry R Wyatt, LPC,NCC,CSOTS,CAMS,C
Title
Owner
Phone
(770) 681-2303

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101Y00000X GA Primary

Addresses

Primary practice location

4037 Darling Court
Suite B
Lilburn, GA 30047

Mailing address

1495 Watercove LN
Lawrenceville, GA 30043-7041
Phone (770) 681-2303

National Provider Directory

National Provider Directory

Locations

4037 Darling Ct SW
Ste B
Lilburn, GA 30047
Phone (770) 681-2303

NPI Registry JSON

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

{
    "created_epoch": "1464220800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1464220800000",
    "number": "1891143244",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1495 WATERCOVE LN",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300437041",
            "telephone_number": "770-681-2303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4037 DARLING COURT",
            "address_2": "SUITE B",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "30047",
            "telephone_number": "770-681-2303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHOICES BEHAVIORAL ALTERNATIVES",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-26",
        "last_updated": "2016-05-26",
        "status": "A",
        "authorized_official_last_name": "WYATT",
        "authorized_official_first_name": "LARRY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-681-2303",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LPC,NCC,CSOTS,CAMS,C"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lilburn, GA

Sources for this page

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