NPI age
3 years
Enumerated 2023-03-20
● Active Type 2 · Organization
Black Swan Llc
Black Swan Llc is 1 of 247 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Wilson
Ceo
Last NPPES update
2025-12-01
Source: monthly bulk 2026-05
How this organization compares
Across 247 active clinic/center providers in Georgia.
NPI age
3 years
↓ 2 yr below median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 32% of peers with subspecialties
NPI lifetime · 2023 → 2026
2023-03Enumerated in NPPES
2023
2026
Where they practice
Primary practice location
4625 Alexander Dr Ste 200
Alpharetta, GA 300223721
Mailing address
4625 Alexander Dr Ste 200
Alpharetta, GA 300223721
Authorized official
Todd Wilson
Ceo
📞 4045135640
Individual providers at this organization
2 individual providers on file at this primary practice address.
- Carlyne Moody, LMSW Social Worker NPI 1831682376
- Lea Noring, MS Counselor NPI 1871070227
Specialties
-
Clinic/Center PrimaryAn entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.
-
Clinic/CenterDefinition to come...
Other names on file (2)
Doing-business-as, former, and alternate names recorded by NPPES.
-
LIV Recovery Center
-
LIV Recovery Center
Practice context
Multi-provider organization. 2 individual providers on file at this primary address.
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- 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.