Healthcare Provider Details

I. General information

NPI: 1639002280
Provider Name (Legal Business Name): RECOVERY DBT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 CAMBRIDGE SQ STE 200
ALPHARETTA GA
30009-1844
US

IV. Provider business mailing address

1640 POWERS FERRY RD SE STE 300
MARIETTA GA
30067-5491
US

V. Phone/Fax

Practice location:
  • Phone: 404-992-1388
  • Fax: 470-275-0630
Mailing address:
  • Phone: 404-992-1388
  • Fax: 470-275-0630

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ANN GUZMAN
Title or Position: CEO
Credential:
Phone: 404-992-1388