THREE RIVERS RECOVERY AND WELLNESS LLC
NPI 1699664060
Psychologist - Addiction (Substance Use Disorder) in Camilla, GA
NPI Status: Active since July 01, 2025
Contact Information
84 E OAKLAND AVE
CAMILLA, GA
ZIP 31730
Phone: (229) 336-9769
- Organization
- Psychologist
- Addiction (Substance Use Disorder)
- CLIA Number: 11D2325664
- CLIA Cert. Type: Other - OPIOD TREATMENT CTR
- CLIA Exp. Date: 06-17-2027
About THREE RIVERS RECOVERY AND WELLNESS LLC
This page provides the complete NPI Profile along with additional information for Three Rivers Recovery And Wellness Llc, a provider established in Camilla, Georgia operating as a Psychologist, focusing in addiction (substance use disorder) . The healthcare provider is registered in the NPI registry with number 1699664060 assigned on July 2025. The practitioner's primary taxonomy code is 103TA0400X. The provider is registered as an organization and their NPI record was last updated February 2026. Three Rivers Recovery And Wellness Llc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Antonio Miller (President)
- NPI
- 1699664060
- Provider Name
- THREE RIVERS RECOVERY AND WELLNESS LLC
- Entity Type
- Organization
- Location Address
- 84 E OAKLAND AVE CAMILLA, GA 31730
- Location Phone
- (229) 336-9769
- Mailing Address
- 84 E OAKLAND AVE CAMILLA, GA 31730
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-01-2025
- Last Update Date
- 02-04-2026
- Code Navigator
Location Map
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
Psychologist Addiction (Substance Use Disorder)
- Taxonomy Code
- 103TA0400X
- Type
- Behavioral Health & Social Service Providers
- Taxonomy Description
- A psychologist with a proficiency that involves the application of psychological treatment of addiction stemming from the use of alcohol and other psychoactive substances (e.g., nicotine, marijuana, cocaine, heroin) or behavioral addictions (e.g., gambling) with the aim of cessation or reduction of use and/or the amelioration of emotional, behavioral, interpersonal and other problems arising from the addictive behavior.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 11D2325664
- Facility Type
- Other - OPIOD TREATMENT CTR
- Certificate Effective Date
- June 18, 2025
- Certificate Expiration Date
- June 17, 2027
- Laboratory Director
- ANTONIO R. MILLER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Three Rivers Recovery And Wellness Llc to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1699664060, we treat the final digit (0) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 70. The final step is to find the difference between that total and the next multiple of ten (70 - 70 = 0).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 70 is 70. The difference is the calculated check digit.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1699664060, enumerated as an "organization" on July 01, 2025.
The provider is located at 84 E OAKLAND AVE CAMILLA, GA 31730 and the phone number is (229) 336-9769.
Psychologist with taxonomy code 103TA0400X and a focus in Addiction (Substance Use Disorder).
