The Recovery Coach, LLC

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

Legal business name

THE RECOVERY COACH, LLC

Practice address

6100 Lake Forrest Dr Ste 450
Atlanta, GA 30328-3837

Phone

(678) 851-3314

NPI assigned

Oct 17, 2020

Organization subpart

No

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

Authorized official

Name

Mrs. Alison T Broderick, NCRC-II, CPS-AD

Title

Founder/Owner

Phone

(678) 851-3314

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1602892800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605052800000",
    "number": "1982203311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6100 LAKE FORREST DR STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283837",
            "telephone_number": "678-851-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6100 LAKE FORREST DR STE 450",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303283837",
            "telephone_number": "678-851-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE RECOVERY COACH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-17",
        "last_updated": "2020-11-11",
        "certification_date": "2020-11-11",
        "status": "A",
        "authorized_official_last_name": "BRODERICK",
        "authorized_official_first_name": "ALISON",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "FOUNDER/OWNER",
        "authorized_official_telephone_number": "678-851-3314",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "NCRC-II, CPS-AD"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Peer Specialist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Peer Specialist in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Peer Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 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.