Active NPI
Building a Solid Foundation
- Community/Behavioral Health Agency
- Stone Mountain, GA
National Provider Identifier
1003192824
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- BUILDING A SOLID FOUNDATION
- Practice address
- 961 N Hairston Rd
230A
Stone Mountain, GA 30083-2854 - Phone
- (770) 469-3211
- NPI assigned
- Oct 25, 2011
- Last updated
- Oct 25, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Leslie Ashlock, PHD ED.D
- Title
- Ceo
- Phone
- (770) 469-3211
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
961 N Hairston Rd
230A
Stone Mountain, GA 30083-2854
Mailing address
961 N Hairston Rd
230A
Stone Mountain, GA 30083-2854
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 053985334 | Other | GA | DRIVER LICENSE |
National Provider Directory
National Provider DirectoryLocations
961 N Hairston Rd
Ste 230A
Stone Mountain, GA 30083
Phone (770) 469-3211
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1319500800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1319500800000",
"number": "1003192824",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "961 N HAIRSTON RD",
"address_2": "230A",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300832854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "961 N HAIRSTON RD",
"address_2": "230A",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300832854",
"telephone_number": "770-469-3211"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "BUILDING A SOLID FOUNDATION",
"organizational_subpart": "NO",
"enumeration_date": "2011-10-25",
"last_updated": "2011-10-25",
"status": "A",
"authorized_official_last_name": "ASHLOCK",
"authorized_official_first_name": "LESLIE",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "770-469-3211",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "PHD ED.D"
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DRIVER LICENSE",
"identifier": "053985334",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.