Organization Active NPI

Restoration & New Beginnings, LLC

  • Mental Health Counselor
  • Peachtree City, GA
National Provider Identifier
1982119681
Registry record updated Sep 18, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
RESTORATION & NEW BEGINNINGS, LLC
Practice address
111 Petrol PT Ste G
Peachtree City, GA 30269-1573
Phone
(470) 629-5424
NPI assigned
Dec 5, 2017
Last updated
Sep 18, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 18, 2020

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

Authorized official

Name
Shelia J. Key, LPCNPI 1972042091
Title
LPC/Owner
Phone
(470) 629-5424

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X LPC009408 GA
Mental Health Counselor 101YM0800X NU Primary

Addresses

Primary practice location

111 Petrol PT Ste G
Peachtree City, GA 30269-1573

Mailing address

434 Lake Ridge LN
Fairburn, GA 30213-5800
Phone (404) 368-0702

Other identifiers 2

IdentifierTypeStateIssuer
1972042091OtherINDIVIDUAL NPI
2.1972042091OtherGAINDIVIDUAL NPI #

National Provider Directory

National Provider Directory

Locations

111 Petrol Pt
Ste G
Peachtree City, GA 30269
Phone (470) 629-5424

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600387200000",
    "number": "1982119681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "434 LAKE RIDGE LN",
            "city": "FAIRBURN",
            "state": "GA",
            "postal_code": "302135800",
            "telephone_number": "404-368-0702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 PETROL PT STE G",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691573",
            "telephone_number": "470-629-5424"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RESTORATION & NEW BEGINNINGS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-05",
        "last_updated": "2020-09-18",
        "certification_date": "2020-09-18",
        "status": "A",
        "authorized_official_last_name": "KEY",
        "authorized_official_first_name": "SHELIA",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "LPC/OWNER",
        "authorized_official_telephone_number": "470-629-5424",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "GA",
            "license": "LPC009408",
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI",
            "identifier": "1972042091",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "INDIVIDUAL NPI #",
            "identifier": "2.1972042091",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Peachtree City, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; 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.