| Recovery Unlimited Llc | |
|
8335 Office Park Dr Suite A Douglasville GA 30134-6937 | |
| (678) 324-0476 | |
| Not Available |
| Full Name | Recovery Unlimited Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 8335 Office Park Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Gerald Rhett (CEO) |
| Authorized Official Contact | 6783240476 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Recovery Unlimited Llc 8335 Office Park Dr Suite A Douglasville GA 30134-6937 Ph: (678) 324-0476 | Recovery Unlimited Llc 8335 Office Park Dr Suite A Douglasville GA 30134-6937 Ph: (678) 324-0476 |
| NPI Number | 1427434554 |
|---|---|
| Provider Enumeration Date | 07/30/2015 |
| Last Update Date | 07/30/2015 |
| Medicare PECOS PAC ID | 5092002667 |
|---|---|
| Medicare Enrollment ID | O20160926000576 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427434554 | NPI | - | NPPES |
| Provider Name | Tommie M Richardson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1013006584 PECOS PAC ID: 2466510730 Enrollment ID: I20081015000685 |
| Provider Name | Gerald Rhett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1497028427 PECOS PAC ID: 8325200082 Enrollment ID: I20120426000090 |
| Provider Name | Shalandria Sims |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235683442 PECOS PAC ID: 4284981267 Enrollment ID: I20180723000411 |
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