Provider Demographics
NPI:1699019034
Name:NEVER GIVE UP RECOVERY, LLC
Entity Type:Organization
Organization Name:NEVER GIVE UP RECOVERY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:COLLEEN
Authorized Official - Middle Name:J
Authorized Official - Last Name:GRAY
Authorized Official - Suffix:
Authorized Official - Credentials:MA, CCAADC, ICAADC
Authorized Official - Phone:404-453-5620
Mailing Address - Street 1:2514 HIGHLAND PARC PL SE
Mailing Address - Street 2:
Mailing Address - City:MARIETTA
Mailing Address - State:GA
Mailing Address - Zip Code:30067-2425
Mailing Address - Country:US
Mailing Address - Phone:404-453-5620
Mailing Address - Fax:
Practice Address - Street 1:2514 HIGHLAND PARC PL SE
Practice Address - Street 2:
Practice Address - City:MARIETTA
Practice Address - State:GA
Practice Address - Zip Code:30067-2425
Practice Address - Country:US
Practice Address - Phone:404-453-5620
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-26
Last Update Date:2012-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GAC0126101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty