KIND RECOVERY (NPI# 1093313470) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1093313470 |
Entity Type | Organization |
Organization Name | KIND RECOVERY |
Practice Address |
106 Trinity Pond Rd Winterville GA 30683-3311 |
Practice Telephone | 7063087664 |
Mailing Telephone | 7063087664 |
Enumeration Date | 2020-10-16 |
Last Update Date | 2020-10-16 |
Authorized Official Name | CARLY KOHLER SHOCKLEY (OWNER) |
Authorized Official Telephone | 7063087664 |
Authorized Official Credential | LCSW |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
Y | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities |
Street Address |
106 TRINITY POND RD |
City | WINTERVILLE |
State | GA |
Zip Code | 30683-3311 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942776109 | Carly Kohler Shockley | Counselor | 106 Trinity Pond Rd, Winterville, GA 30683-3311 | 2018-10-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609049444 | Assisted Living Concepts Inc | Assisted Living Facility | 124 Avery Street, Winterville, WI 30683 | 2008-04-11 |
1841226339 | Harris Brothers Apothecaries Inc | Pharmacy | 104 Main St, Winterville, GA 30683-0158 | 2006-06-25 |
1558843730 | Kristin Lee Kibbe | Audiologist | 375 Winter St, Winterville, GA 30683-1408 | 2018-09-04 |
1952671299 | L Hubbrd Host Home | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 170 Smithonia Rd, Winterville, GA 30683-1417 | 2012-01-04 |
1851493977 | Phillip Hue Durden Iv | Dentist | 104 Moores Grove Rd, Winterville, GA 30683-1506 | 2006-09-01 |
1861500233 | Medical Rehabilitation Systems, LLC | Physical Therapist | 105 Moores Grove Road, Winterville, GA 30683-1506 | 2006-08-27 |
1235635715 | Winterville Dental, LLC | Clinic/Center | 104 Moores Grove Rd, Winterville, GA 30683-1506 | 2018-04-03 |
1255686887 | Brian Andrew Mitchell | Dentist | 104 Moores Grove Rd, Winterville, GA 30683-1506 | 2012-07-19 |
1528233384 | Phillip H. Durden, Dmd, PC | Clinic/Center | 104 Moores Grove Rd, Winterville, GA 30683-1506 | 2008-04-23 |
1457545170 | Lila Frazer Ralston | Physical Therapy Assistant | 104 Moores Grove Rd, Suite 100, Winterville, GA 30683-1506 | 2007-09-06 |
Find all providers in zip 30683 |
Taxonomy Code | 261QM0850X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Adult Mental Health |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1700491172 | Life Compass Mental Health Services, LLC | Clinic/Center | 300 Colnl Ctr Pkwy Ste 100n, Roswell, GA 30076-4892 | 2020-09-12 |
1104437987 | Mimi Mcdonald LLC | Clinic/Center | 408 Creekstone Rdg, Woodstock, GA 30188-3740 | 2020-08-13 |
1396353884 | Atlanta Mental Wellness LLC | Clinic/Center | 1535 Mount Vernon Rd Ste B, Dunwoody, GA 30338-4149 | 2020-07-21 |
1982212536 | Living Well Integrative Counseling, LLC | Clinic/Center | 245 N Highland Ave Ne Ste 230-285, Atlanta, GA 30307-1936 | 2020-07-20 |
1841808060 | By Grace Counseling LLC | Clinic/Center | 100 Hemingway Ln, Roswell, GA 30075-7024 | 2020-07-14 |
1245854371 | Synergia Integrated Telebehavioral Health | Clinic/Center | 3941 Old Atlanta Station Drive, Southeast, Atlanta, GA 30339 | 2020-06-04 |
1164055455 | New Perspectives Psychotherapy LLC | Clinic/Center | 10 N Clarendon Ave Ste B, Avondale Estates, GA 30002-1165 | 2020-02-15 |
1982234423 | All About You Counseling, LLC | Clinic/Center | 150 Prospect Pl, Alpharetta, GA 30005-5445 | 2020-01-23 |
1295372225 | Mental Space LLC | Clinic/Center | 4210 Columbia Rd Unit D, Martinez, GA 30907-0401 | 2019-12-10 |
1225679921 | Jacqueline Pickett Parrish | Clinic/Center | 3511 Willow Tree Trce, Decatur, GA 30034-3842 | 2019-10-03 |
Find all providers with the same taxonomy |
City | WINTERVILLE |
Zip Code | 30683 |
Please comment or provide details below to improve the information on KIND RECOVERY.
Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.