Active NPI
Choices Behavioral Alternatives
- Counselor
- Lilburn, GA
National Provider Identifier
1891143244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Counselor
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Counselor | 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 DirectoryLocations
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.