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REBOOT PSYCHOTHERAPY LLC
NPI 1245722420
Clinic/Center - Adult Mental Health in Marietta, GA

Active since June 04, 2018
1111 WYNFORD CMNS SW, MARIETTA, GA 30064(704) 756-5770 Get Directions Write a Review

NPPES record last updated: June 4, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Adult Mental Health

About REBOOT PSYCHOTHERAPY LLC

This page provides the complete NPI Profile along with additional information for Reboot Psychotherapy Llc, a provider established in Marietta, Georgia operating as a Clinic/center, focusing in adult mental health . The healthcare provider is registered in the NPI registry with number 1245722420 assigned on June 2018. The practitioner's primary taxonomy code is 261QM0850X with license number 006281 (GA). The provider is registered as an organization and their NPI record was last updated 8 years ago. The authorized official of this NPI record is Miss Kimberlee Jones Lcsw (Licensed Clinical Social Worker)

NPI
1245722420 Verify this NPI
Provider Name
REBOOT PSYCHOTHERAPY LLC
Entity Type
Organization
Location Address
1111 WYNFORD CMNS SW MARIETTA, GA 30064
Location Phone
(704) 756-5770
Mailing Address
1111 WYNFORD CMNS SW MARIETTA, GA 30064
Mailing Phone
(704) 756-5770
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
06-04-2018
Last Update Date
06-04-2018
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Adult Mental Health

Taxonomy Code
261QM0850X
Type
Ambulatory Health Care Facilities
License No.
006281
License State
GA
Taxonomy Description
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MISS KIMBERLEE JONES LCSW

Authorized Official Title
LICENSED CLINICAL SOCIAL WORKER
Authorized Official Phone
(704) 756-5770

Reviews for REBOOT PSYCHOTHERAPY LLC

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

KIMBERLEE G MCFARLAND LCSW
Social Worker (Clinical)
1111 WYNFORD CMNS SW
MARIETTA, GA 30064
Cobb County (704) 756-5770

Frequently Asked Questions

What is REBOOT PSYCHOTHERAPY LLC's NPI number?

The NPI number assigned to this healthcare provider is 1245722420, enumerated as an "organization" on June 04, 2018.

Where is the provider located?

The provider is located at 1111 WYNFORD CMNS SW MARIETTA, GA 30064 and the phone number is (704) 756-5770.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QM0850X and a focus in Adult Mental Health.