Organization Active NPI

Lionheart Recovery, LLC

  • Community/Behavioral Health Agency
  • Dallas, GA
National Provider Identifier
1992158323
Registry record updated Jul 20, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LIONHEART RECOVERY, LLC
Practice address
68 White Leaf Dr
Dallas, GA 30157-6978
Phone
(678) 368-5676
NPI assigned
Jul 20, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2016

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

Authorized official

Name
Mrs. Dianne K Madison, MS
Title
Clinician
Phone
(678) 368-5676

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

68 White Leaf Dr
Dallas, GA 30157-6978

Mailing address

68 White Leaf Dr
Dallas, GA 30157-6978
Phone (678) 368-5676

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1468972800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468972800000",
    "number": "1992158323",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "68 WHITE LEAF DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301576978",
            "telephone_number": "678-368-5676"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68 WHITE LEAF DR",
            "city": "DALLAS",
            "state": "GA",
            "postal_code": "301576978",
            "telephone_number": "678-368-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIONHEART RECOVERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-20",
        "last_updated": "2016-07-20",
        "status": "A",
        "authorized_official_last_name": "MADISON",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "678-368-5676",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 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.