Organization Active NPI

Good Landing Recovery, Corporation

  • Addiction (Substance Use Disorder) Counselor
  • Dacula, GA
National Provider Identifier
1992209811
Registry record updated Mar 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
LPC005933 Issued in GA
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

Updated by the provider on Mar 23, 2018

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)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.