EMPOWERED RECOVERY CENTER
NPI 1841956364
Clinic/Center - Rehabilitation, Substance Use Disorder in Marietta, GA

NPI Status: Active since November 09, 2021

Contact Information

3651 CANTON RD
MARIETTA, GA
ZIP 30066
Phone: (470) 295-3152
Fax: (678) 623-3318

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  • Organization
  • Clinic/Center
  • Rehabilitation, Substance Use Disorder
  • CLIA Number: 11D2242348
  • CLIA Cert. Type: Other - SUBSTANCE ABUSE TREAT CTR
  • CLIA Exp. Date: 11-07-2025

About EMPOWERED RECOVERY CENTER

This page provides the complete NPI Profile along with additional information for Empowered Recovery Center, a provider established in Marietta, Georgia operating as a Clinic/center, focusing in rehabilitation, substance use disorder . The healthcare provider is registered in the NPI registry with number 1841956364 assigned on November 2021. The practitioner's primary taxonomy code is 261QR0405X. The provider is registered as an organization and their NPI record was last updated 5 years ago. The provider's is doing business as Empowered Recovery Center. The authorized official of this NPI record is Mr. Forrest Richardson (Coo)

NPI
1841956364
Provider Legal Name
SOUTHERN WELLNESS SERVICES, LLC
Other Organization Name
EMPOWERED RECOVERY CENTER
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
3651 CANTON RD MARIETTA, GA 30066
Location Phone
(470) 295-3152
Location Fax
(678) 623-3318
Mailing Address
3651 CANTON RD MARIETTA, GA 30066
Mailing Phone
(470) 295-3152
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-09-2021
Last Update Date
11-19-2021
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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

Clinic/Center Rehabilitation, Substance Use Disorder

Taxonomy Code
261QR0405X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. FORREST RICHARDSON

Authorized Official Title
COO
Authorized Official Phone
(470) 295-3152

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
11D2242348
Facility Type
Other - SUBSTANCE ABUSE TREAT CTR
Certificate Effective Date
November 08, 2023
Certificate Expiration Date
November 07, 2025
Laboratory Director
FORREST RICHARDSON
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Empowered Recovery Center 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 1841956364, we treat the final digit (4) 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 66. The final step is to find the difference between that total and the next multiple of ten (70 - 66 = 4).

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.

Pos 1
1
Doubled → 2
Pos 2
8
Unchanged
Pos 3
4
Doubled → 8
Pos 4
1
Unchanged
Pos 5
9
Doubled → 18 → 1 + 8
Pos 6
5
Unchanged
Pos 7
6
Doubled → 12 → 1 + 2
Pos 8
3
Unchanged
Pos 9
6
Doubled → 12 → 1 + 2
Check
4
Target digit
Regular digit Doubled digit Check digit

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.

1 → 2 4 → 8 9 → 18 → 9 6 → 12 → 3 6 → 12 → 3

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 8 + 8 + 1 + 1 + 8 + 5 + 1 + 2 + 3 + 1 + 2 + 24 = 66

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 66 is 70. The difference is the calculated check digit.

70 - 66 = 4
This NPI is valid
The calculated check digit is 4, which matches the last digit of 1841956364.

Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Social Worker (Clinical)
3651 CANTON RD
MARIETTA, GA 30066
Social Worker
3651 CANTON RD
MARIETTA, GA 30066

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841956364, enumerated as an "organization" on November 09, 2021.

The provider is located at 3651 CANTON RD MARIETTA, GA 30066 and the phone number is (470) 295-3152.

Clinic/Center with taxonomy code 261QR0405X and a focus in Rehabilitation, Substance Use Disorder.