Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Black Swan LLC

Organization Adult Mental Health Clinic/Center · NPI 1679275846

Black Swan LLC is an Adult Mental Health Clinic/Center in Alpharetta, Georgia. Registered with an NPI since 2023.

In the registry since
2023
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

4625 Alexander Dr Ste 200
Alpharetta, GA 30022-3721
Phone: (404) 513-5640
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Mental Health Clinic/Center (primary) Taxonomy 261QM0850X
Substance Use Disorder Rehabilitation Clinic/Center Taxonomy 261QR0405X

Record details

NPI number1679275846
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Todd Wilson — Ceo · (404) 513-5640
Other names Liv Recovery Center; Liv Recovery Center
NPI enumeratedMarch 20, 2023
Last updated in NPPESDecember 1, 2025
Certification dateDecember 1, 2025
Mailing address4625 Alexander Dr Ste 200, Alpharetta, GA 30022-3721

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