When I Was a Child Corp

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

WHEN I WAS A CHILD CORP

Practice address

6235 Providence Club Dr
Mableton, GA 30126-7223

Phone

(678) 910-6888

NPI assigned

Apr 22, 2021

Last updated

Apr 22, 2021By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Amanda Ezzard

Title

Executive Dirctor

Phone

(678) 910-6888

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Sharon Terry, RISGERTERED NURSE

  • Registered Nurse
  • Newnan, GA
  • NPI 1306507546
  NPD
• Sophia Thomas

  • Social Worker
  • Powder Springs, GA
  • NPI 1235883257
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1619049600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1619049600000",
    "number": "1023690831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "388 BULLSBORO DR",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631069",
            "telephone_number": "678-910-6888"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6235 PROVIDENCE CLUB DR",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301267223",
            "telephone_number": "678-910-6888"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WHEN I WAS A CHILD CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-22",
        "last_updated": "2021-04-22",
        "certification_date": "2021-03-31",
        "status": "A",
        "authorized_official_last_name": "EZZARD",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "EXECUTIVE DIRCTOR",
        "authorized_official_telephone_number": "678-910-6888"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Walgreen Co (Walgreens #10968)
• Walgreen Co (Walgreens #09452)
• Naylecia Monique Watkins
• Matthew Javed Watson, PHARMD
• We Care of Mableton Inc.
• Deidre White, LMFT
• Keyontia Markeya White
• Tia White
• Katherine Wiley, RD, LD
• Christy Williams

• Community/Behavioral Health Agency in Mableton, GA
• Providers in Mableton, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.