BLACK SWAN LLC
NPI 1679275846
Clinic/Center - Adult Mental Health in Alpharetta, GA
About Black Swan Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
BLACK SWAN LLC (NPI 1679275846), doing business as Liv Recovery Center, is a healthcare organization registered as an adult mental health in Alpharetta, Georgia and active in the NPI registry since March 2023. The organization holds a CLIA Waiver certificate valid through December 8, 2026 and lists Todd Wilson, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses 2
Other Names 1
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 11D2273257
Black Swan LLC Dba Liv · Alpharetta, GAOther Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Swan LLC's NPI number?
The NPI number for Black Swan LLC is 1679275846. It was assigned to this organization in the NPPES registry on March 20, 2023. The provider is doing business as LIV Recovery Center.
Where is Black Swan LLC located?
Black Swan LLC is located at 4625 Alexander Dr Ste 200, Alpharetta, GA 30022. The listed phone number is (404) 513-5640.
What is Black Swan LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.
Does Black Swan LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 11D2273257) is associated with this NPI, valid through December 8, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Black Swan LLC was last updated on December 1, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.
