Manifest Recovery

Primary specialty

Substance Use Disorder Rehabilitation Clinic/CenterTaxonomy code 261QR0405X

Legal business name

MANIFEST RECOVERY

Practice address

1215 Hightower TRL Ste 201
Sandy Springs, GA 30350-6244

Phone

(877) 752-5262

NPI assigned

Apr 26, 2018

Organization subpart

No

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

Authorized official

Name

Victor Alfonso

Title

Ceo

Phone

(818) 212-4659

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Sharon McMillan, LPC, AACDC

  • Professional Counselor
  • Kennesaw, GA
  • NPI 1851829220
  NPD (past)

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

{
    "created_epoch": "1524700800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1524700800000",
    "number": "1952899775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1301 SHILOH RD NW STE 1840",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301447171",
            "telephone_number": "877-752-5262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 HIGHTOWER TRL STE 201",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303506244",
            "telephone_number": "877-752-5262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MANIFEST RECOVERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-26",
        "last_updated": "2018-04-26",
        "status": "A",
        "authorized_official_last_name": "ALFONSO",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "818-212-4659"
    },
    "taxonomies": [
        {
            "code": "261QR0405X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ansley P Malcolm
• Zareena Malone
• Jyothirmayi Mamidi
• Jerica Maness, ATC
• Padmini Mangray
• Jessica Helene Manitescu, ACNPC-AG
• Tarshena Manning, LCMHC
• Lauren Elisa Maquindang, LCSW
• Peggy Marbach, O.T.D., O.T.R.
• Sara Margherio

• Substance Use Disorder Rehabilitation Clinic/Center in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Substance Use Disorder Rehabilitation Clinic/Center in Georgia

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