THE EXTENSION INC
NPI 1730756719
Substance Abuse Rehabilitation Facility in Marietta, GA

Active since June 08, 2021CLIA 11D2316623 · Waiver
1507 CHURCH STREET EXT NE, MARIETTA, GA 30060(770) 590-9075 Get Directions Write a Review

NPPES record last updated: June 8, 2021. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About The Extension Inc NPPES

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

THE EXTENSION INC (NPI 1730756719) is a healthcare organization registered as a substance abuse rehabilitation facility in Marietta, Georgia and active in the NPI registry since June 2021. The organization holds a CLIA Waiver certificate valid through January 8, 2027, maintains a secondary practice location in Marietta, and lists Stephanie Glover, Director Of Administration, as its authorized official.

NPPES Registry Identity

NPI1730756719
Entity TypeOrganization
Primary Taxonomy324500000X
Legal Business NameTHE EXTENSION INC
Location Address1507 CHURCH STREET EXT NEMarietta, GA 30060-1023
Mailing Address1507 Church Street Ext NeMarietta, GA 30060-1023 · (770) 590-9075
Organization SubpartNo
Authorized OfficialStephanie GloverDirector Of Administration · (770) 590-9075
Enumeration DateJune 8, 2021
NPPES CertifiedJune 8, 2021
NPI 1730756719 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySubstance Abuse Rehabilitation FacilityResidential Treatment Facilities
Taxonomy Code324500000X
Definition
A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances.
1507 CHURCH STREET EXT NE, Marietta, GA 30060

Secondary Practice Location 1

Location 1130 Holiday St NEMarietta, GA 30060-1714 · Phone (770) 590-9075

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 11D2316623

The Extension Inc · Marietta, GA
Active · expires Jan 8, 2027
CLIA Number11D2316623
Laboratory TypeRes Treatment Facility
Certificate Effective DateJanuary 9, 2025
Certificate Expiration DateJanuary 8, 2027
Laboratory DirectorMary Jean Millikan
Laboratory Phone(770) 590-9075
Laboratory LocationThe Extension Inc1507 Church Street Ext, Marietta, GA 30060
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

Social Worker (Clinical)
1507 CHURCH STREET EXT NE
MARIETTA, GA 30060

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 The Extension Inc's NPI number?

The NPI number for The Extension Inc is 1730756719. It was assigned to this organization in the NPPES registry on June 8, 2021.

Where is The Extension Inc located?

The Extension Inc is located at 1507 Church Street Ext NE, Marietta, GA 30060. The listed phone number is (770) 590-9075.

What is The Extension Inc's specialty?

The primary specialty registered for this NPI is Substance Abuse Rehabilitation Facility with taxonomy code 324500000X.

Does The Extension Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2316623) is associated with this NPI, valid through January 8, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for The Extension Inc was last updated on June 8, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.