Real Life Solutions Ga

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

CSW005654 Issued in GA

Legal business name

REAL LIFE SOLUTIONS GA

Practice address

8355 Cherokee Blvd
Douglasville, GA 30134-2591

Phone

(770) 927-7272

NPI assigned

Mar 15, 2016

Organization subpart

No

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

Authorized official

Name

Tamekis Williams, LCSWNPI 1801278023

Title

Ceo/Organizer

Phone

(770) 920-7272

Specialties & licenses 1

Addresses

Other names 1

• Real Life Solutions Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Tamekis Williams, MSW, LCSW

  • Clinical Social Worker
  • Douglasville, GA
  • NPI 1801278023
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1458000000000",
    "number": "1063873396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 641",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301330641",
            "telephone_number": "770-927-7272"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8355 CHEROKEE BLVD",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301342591",
            "telephone_number": "770-927-7272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REAL LIFE SOLUTIONS GA",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "TAMEKIS",
        "authorized_official_title_or_position": "CEO/ORGANIZER",
        "authorized_official_telephone_number": "770-920-7272",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "CSW005654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Real Life Solutions",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Community/Behavioral Health Agency in Douglasville, GA
• Providers in Douglasville, 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 Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.