ATLANTA LIFE JOURNEYS SERVICES, LLC


Address: 3196 Dogwood Dr, Atlanta, GA 30354-1149
Phone: 8134176944

ATLANTA LIFE JOURNEYS SERVICES, LLC (NPI# 1851881353) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1851881353
Entity Type Organization
Organization Name ATLANTA LIFE JOURNEYS SERVICES, LLC
Practice Address 3196 Dogwood Dr
Atlanta
GA 30354-1149
Mailing Address 921 Second St
Stone Mountain
GA 30083-3017
Practice Telephone 8134176944
Practice Fax Number 3184020913
Mailing Telephone 3184369717
Mailing Fax Number 3184020913
Enumeration Date 2018-05-10
Last Update Date 2018-05-10
Authorized Official Name DARRELL FITZGERALD DEAS (IT DIRECTOR)
Authorized Official Telephone 3184369717
Authorized Official Credential IT
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Office Location

Street Address 3196 DOGWOOD DR
City ATLANTA
State GA
Zip Code 30354-1149

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1013068782 Ali Harandifassih Dentist 785 Virginia Avenue, Suite A, Hapeville, GA 30354 2007-01-16
1336207349 Catherine Clayton Harper Registered Nurse 3444 Claire Dr, Hopeville, GA 30354 2006-12-04
1649346099 Katherine Lee Gill Registered Nurse 3444 Claire Drive, Hapeville, GA 30354 2006-11-28
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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1952914632 Brighter Dayz, Incorporated Community/Behavioral Health 1016 Howell Mill Rd Nw Apt 4408, Atlanta, GA 30318-5592 2020-08-24
1699387688 Rise Rehabilitation Services, LLC Community/Behavioral Health 738 Highland Park Trl, Atlanta, GA 30350-6706 2020-08-20
1700427820 Trust2change, LLC. Community/Behavioral Health 2900 Chamblee Tucker Rd Bldg 8, Atlanta, GA 30341-4100 2019-09-30
1538712088 Ferris Healthcare Group Community/Behavioral Health 2900 Paces Ferry Rd Se Bldg C, Atlanta, GA 30339-5702 2019-07-23
1245890987 Soc Integrated Services, LLC Community/Behavioral Health 130 Wynfield Way Sw, Atlanta, GA 30331-6837 2019-06-15
1770046740 Z-one Incorporated Community/Behavioral Health 505 Tufton Trl Se, Atlanta, GA 30354-2867 2019-04-08
1003377086 Chris 180, Inc. Community/Behavioral Health 3700 Martin Luther King Dr Sw, Atlanta, GA 30331-3674 2019-03-30
1144790783 Danielle Smith Community/Behavioral Health 880 Glenwood Ave Se Unit 3185, Atlanta, GA 30316-1955 2018-11-27
1073083762 Michael Pollock Community/Behavioral Health 3725 Princeton Lakes Pkwy Sw Apt 7003, Atlanta, GA 30331-5560 2018-11-26
1992207989 Standpoint Therapy & Organizational Consulting Community/Behavioral Health 2773 Ben Hill Rd, Atlanta, GA 30344-1913 2018-03-06
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Competitor

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City ATLANTA
Zip Code 30354

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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