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BLACK SHEEP TRAUMA AND RECOVERY LLC
NPI 1497407506
Counselor - Mental Health in Thomasville, GA

Active since January 20, 2022
125 E MONROE ST, THOMASVILLE, GA 31792(404) 860-2111 Get Directions Write a Review

NPPES record last updated: January 25, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jan 25, 2022, Jan 20, 2022 (2 updates tracked since 2022).

About Black Sheep Trauma And Recovery Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BLACK SHEEP TRAUMA AND RECOVERY LLC (NPI 1497407506) is a healthcare organization registered as a mental health in Thomasville, Georgia and active in the NPI registry since January 2022. The organization lists John Widener, Owner, as its authorized official.

NPPES Registry Identity

NPI1497407506
Entity TypeOrganization
Primary Taxonomy101YM0800X
Legal Business NameBLACK SHEEP TRAUMA AND RECOVERY LLC
Location Address125 E MONROE STThomasville, GA 31792-5142
Mailing Address125 E Monroe StThomasville, GA 31792-5142 · (678) 577-8795
Phone(404) 860-2111
Organization SubpartNo
Authorized OfficialJohn WidenerOwner · (678) 577-8795
Enumeration DateJanuary 20, 2022
Last NPPES UpdateJanuary 25, 20222 updates tracked since enumeration
NPPES CertifiedJanuary 25, 2022
✔ NPI 1497407506 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
Also ListedMarriage & Family TherapistTaxonomy 106H00000X
125 E MONROE ST, Thomasville, GA 31792
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Other Identifiers 1

Medicaid003226805AGA

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN WIDENER LPC, LMFT
Counselor (Mental Health)
125 E MONROE ST
THOMASVILLE, GA 31792
Thomas County (678) 577-8795
CHRISTINE M RENAUD PH.D.
Psychologist (Clinical Child & Adolescent)
125 E MONROE ST
THOMASVILLE, GA 31792
Thomas County (229) 551-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Black Sheep Trauma And Recovery LLC's NPI number?

The NPI number for Black Sheep Trauma And Recovery LLC is 1497407506. It was assigned to this organization in the NPPES registry on January 20, 2022.

Where is Black Sheep Trauma And Recovery LLC located?

Black Sheep Trauma And Recovery LLC is located at 125 E Monroe St, Thomasville, GA 31792. The listed phone number is (404) 860-2111.

What is Black Sheep Trauma And Recovery LLC's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Mental Health, with taxonomy code 101YM0800X.

When was this NPI record last updated?

The NPPES record for Black Sheep Trauma And Recovery LLC was last updated on January 25, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.