Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Black Sheep Trauma and Recovery LLC

Mental Health Counselor in Thomasville, GA · enumerated 2022 · authorized official John Widener, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1497407506

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Registry record

Entity type Organization (Type 2)

Legal business name Black Sheep Trauma and Recovery LLC

Practice address 125 E Monroe St, Thomasville, GA, 31792

Phone (404) 860-2111

Enumeration date Jan 20, 2022

Last updated in NPPES Jan 25, 2022

Taxonomy & classification

101YM0800X Mental Health Counselor Behavioral Health & Social Service Providers Primary

106H00000X Marriage & Family Therapist Behavioral Health & Social Service Providers Secondary

Authorized official

Name John Widener

Title Owner

Phone (678) 577-8795

Other identifiers

Identifier	Type	State	Issuer
003226805A	Medicaid	GA	-

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Black Sheep Trauma and Recovery LLC located?

The practice location on file with NPPES is in Thomasville, GA.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2022-01-25. Verify at npiregistry.cms.hhs.gov.

Providers at this address

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Christine Renaud Clinical Child & Adolescent Psychologist · Thomasville, GA NPI 1629174032 John Widener Mental Health Counselor · Thomasville, GA NPI 1467906537

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2022-01-25.