Active NPI
Good Landing Recovery, Corporation
- Addiction (Substance Use Disorder) Counselor
- Dacula, GA
National Provider Identifier
1992209811
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Addiction (Substance Use Disorder) Counselor
- License
- LPC005933
- Legal business name
- GOOD LANDING RECOVERY, CORPORATION
- Practice address
- 256 McMillan Rd Ste B
Dacula, GA 30019-2337 - Phone
- (770) 570-7422
- NPI assigned
- Mar 23, 2018
- 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. Robert Pearson Lewis III
- Title
- Ceo/Owner
- Phone
- (770) 570-7422
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | LPC005933 | GA | Primary |
| Substance Abuse Rehabilitation Facility | 324500000X | GA |
Addresses
Primary practice location
256 McMillan Rd Ste B
Dacula, GA 30019-2337
Mailing address
3437 Sandy Bank Dr
Auburn, GA 30011-4679
Phone (770) 570-7422
National Provider Directory
National Provider DirectoryLocations
256 McMillan Rd
#B
Dacula, GA 30019
Phone (770) 570-7422
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1521763200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1521763200000",
"number": "1992209811",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3437 SANDY BANK DR",
"city": "AUBURN",
"state": "GA",
"postal_code": "300114679",
"telephone_number": "770-570-7422"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "256 MCMILLAN RD STE B",
"city": "DACULA",
"state": "GA",
"postal_code": "300192337",
"telephone_number": "770-570-7422"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GOOD LANDING RECOVERY, CORPORATION",
"organizational_subpart": "NO",
"enumeration_date": "2018-03-23",
"last_updated": "2018-03-23",
"status": "A",
"authorized_official_last_name": "LEWIS",
"authorized_official_first_name": "ROBERT",
"authorized_official_middle_name": "PEARSON",
"authorized_official_title_or_position": "CEO/OWNER",
"authorized_official_telephone_number": "770-570-7422",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "101YA0400X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Counselor, Addiction (Substance Use Disorder)",
"state": "GA",
"license": "LPC005933",
"primary": true
},
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "GA",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dacula, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 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.