GOOD LANDING RECOVERY, CORPORATION (NPI# 1992209811) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992209811 |
| Entity Type | Organization |
| Organization Name | GOOD LANDING RECOVERY, CORPORATION |
| Practice Address |
256 Mcmillan Rd Ste B Dacula GA 30019-2337 |
| Mailing Address |
3437 Sandy Bank Dr Auburn GA 30011-4679 |
| Practice Telephone | 7705707422 |
| Mailing Telephone | 7705707422 |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2018-03-23 |
| Authorized Official Name | MR. ROBERT PEARSON LEWIS III (CEO/OWNER) |
| Authorized Official Telephone | 7705707422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | GA | Residential Treatment Facilities | |
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LPC005933 | GA | Behavioral Health & Social Service Providers |
| Street Address |
256 MCMILLAN RD STE B |
| City | DACULA |
| State | GA |
| Zip Code | 30019-2337 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780228171 | Mackenson Lafortune | Physical Therapy Assistant | 1424 Filigree Pl, Dacula, GA 30019 | 2019-10-29 |
| 1780167452 | Adenike Alaga | Registered Nurse | 3196 Dolostone Way, Dacula, GA 30019 | 2018-09-10 |
| 1780160580 | Cielitha Ruffin | Nurse Practitioner | 1223 Bentley Estates Dr., Dacula, GA 30019 | 2018-07-15 |
| 1386135663 | Anke Mbapeh | Nurse Practitioner | 2100 Browning Bend Ct, Dacula, GA 30019 | 2018-05-23 |
| 1053820282 | Ethan Zachariah Merrow | Student in an Organized Health Care Education/Training Program | 1701 Mulberry Lake Drive, Dacula, GA 30019 | 2017-09-20 |
| 1043737547 | Dawn Hedley | Dietitian, Registered | 3567 Vern Way, Dacula, GA 30019 | 2017-08-25 |
| 1831545367 | Angela Owusu-edusei | Nurse Practitioner | 3226 Dolostone Way, Dacula, GA 30019 | 2016-05-13 |
| 1528458718 | Philomena Gyamfi | Registered Nurse | 1088 Milford Ln, Dacula, GA 30019 | 2015-01-27 |
| 1417375247 | Casey Goldman Sommerfeld | Pediatrics | 2240 Hamilton Creek Pkwy Ste 600, Dacula, GA 30019 | 2014-03-29 |
| 1417398215 | Samia Tahil | Home Health | 2821 Spence Ct, Dacula, GA 30019 | 2013-07-10 |
| Find all providers in zip 30019 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831577097 | Sareena Lynn Miduski | Counselor | 3617 Braselton Hwy Ste 104, Dacula, GA 30019-4667 | 2015-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497354864 | Our Voice Matters LLC | Counselor | 1258 Cedar Ave Unit 701, Columbus, GA 31906-2446 | 2020-10-18 |
| 1659978294 | Brett Lowrey | Counselor | 400 Dawson Commons Cir Ste 400, Dawsonville, GA 30534-6269 | 2020-10-07 |
| 1972110674 | Tiffany Scott | Counselor | 9071 Jimmy Lee Cir, Jonesboro, GA 30238-7009 | 2020-09-26 |
| 1346856853 | Mahaly H Ashley | Counselor | 367 Richardson Rd, Calhoun, GA 30701 | 2020-09-21 |
| 1780296723 | Janet Brown | Counselor | 166b Mount Pleasant Church Rd, Pineview, GA 31071-5248 | 2020-08-20 |
| 1598377038 | Angie Hamilton | Counselor | 5101 Waterford Dr Sw, Mableton, GA 30126-1742 | 2020-08-17 |
| 1255942355 | Sonia Diane Glass | Counselor | 6285 Littleton Dr, Union City, GA 30291-1071 | 2020-08-12 |
| 1679198410 | Lorri Michelle Strickland | Counselor | 1040 Us Hwy 280 W, Pembroke, GA 31321 | 2020-06-08 |
| 1184246118 | Christopher White | Counselor | 1430 Desoto Ave Sw, Atlanta, GA 30310-4340 | 2020-05-13 |
| 1316569619 | G.r.a.y.s. Group, LLC | Counselor | 1227 Augusta West Pkwy Ste 15, Augusta, GA 30909-6671 | 2020-05-11 |
| Find all providers with the same taxonomy | ||||
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| 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.