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HIDDEN CREEK RECOVERY AND RETREAT
NPI 1730938192
Clinic/Center - Adolescent and Children Mental Health in Tallapoosa, GA

Active since May 16, 2024CLIA 11D2311508 · Waiver
110 PLEASANT HILL CHURCH RD, TALLAPOOSA, GA 30176(470) 721-3241 Get Directions Write a Review

NPPES record last updated: November 15, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Nov 15, 2024, May 16, 2024 (2 updates tracked since 2024).

About Hidden Creek Recovery And Retreat NPPES

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

HIDDEN CREEK RECOVERY AND RETREAT (NPI 1730938192) is a healthcare organization registered as an adolescent and children mental health in Tallapoosa, Georgia and active in the NPI registry since May 2024. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Sevana Bradshaw, Accounts Rep, as its authorized official.

NPPES Registry Identity

NPI1730938192
Entity TypeOrganization
Primary Taxonomy261QM0855X
Legal Business NameHIDDEN CREEK RECOVERY AND RETREAT
Location Address110 PLEASANT HILL CHURCH RDTallapoosa, GA 30176-4333
Mailing Address110 Pleasant Hill Church RdTallapoosa, GA 30176-4333
Phone(470) 721-3241
Organization SubpartNo
Authorized OfficialSevana BradshawAccounts Rep · (470) 721-3241
Enumeration DateMay 16, 2024
Last NPPES UpdateNovember 15, 20242 updates tracked since enumeration
NPPES CertifiedNovember 15, 2024
✔ NPI 1730938192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adolescent and Children Mental HealthAmbulatory Health Care Facilities
Taxonomy Code261QM0855X
Definition
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training.
110 PLEASANT HILL CHURCH RD, Tallapoosa, GA 30176
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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 11D2311508

Hidden Creek Recovery & Retreat · Tallapoosa, GA
Active · expires Sep 23, 2026
CLIA Number11D2311508
Laboratory TypeRes Drug And Alcohol
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorDiahann Moore
Laboratory Phone(470) 291-9925
Laboratory LocationHidden Creek Recovery & Retreat110 Pleasant Hill Church Road, Tallapoosa, GA 30176
CLIA data matches this NPI record on: Address
This certificate is issued to a laboratory to perform only waived tests.

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 Hidden Creek Recovery And Retreat's NPI number?

The NPI number for Hidden Creek Recovery And Retreat is 1730938192. It was assigned to this organization in the NPPES registry on May 16, 2024.

Where is Hidden Creek Recovery And Retreat located?

Hidden Creek Recovery And Retreat is located at 110 Pleasant Hill Church Rd, Tallapoosa, GA 30176. The listed phone number is (470) 721-3241.

What is Hidden Creek Recovery And Retreat's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adolescent and Children Mental Health, with taxonomy code 261QM0855X.

Does Hidden Creek Recovery And Retreat hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2311508) is associated with this NPI, valid through September 23, 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 Hidden Creek Recovery And Retreat was last updated on November 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 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.