NPI age
4 years
Enumerated 2022-01-20
● Active Type 2 · Organization
Black Sheep Trauma And Recovery Llc
Black Sheep Trauma And Recovery Llc is 1 of 5527 counselor organizations in Georgia.
Primary specialty
Counselor
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Widener
Owner
Last NPPES update
2022-01-25
Source: monthly bulk 2026-05
How this organization compares
Across 5527 active counselor providers in Georgia.
NPI age
4 years
≈ at median (5 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 16% of peers with subspecialties
NPI lifetime · 2022 → 2026
2022-01Enumerated in NPPES
2022
2026
Where they practice
Primary practice location
125 E Monroe St
Thomasville, GA 317925142
Mailing address
125 E Monroe St
Thomasville, GA 317925142
Authorized official
John Widener, LPC, LMFT
Owner
📞 6785778795
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Christine Renaud, PH.D. Psychologist NPI 1629174032
- John Widener, LPC, LMFT Counselor NPI 1467906537
Specialties
-
Counselor PrimaryDefinition to come...
-
Marriage & Family TherapistA marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (GA) | 003226805A |
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
Provyx · Custom healthcare lists
Need all 5527 Counselor providers in Georgia?
Get the full list as a CSV with verified work emails, direct phones, and LinkedIn URLs.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.