Organization Active NPI

Smith Out Reach Family Services

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1164856167
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SMITH OUT REACH FAMILY SERVICES
Practice address
4775 Longview Run
Decatur, GA 30035-6007
Phone
(470) 545-2188
NPI assigned
Aug 26, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2013

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

Authorized official

Name
Lakeasha Smith
Title
Ceo, Cfo
Phone
(470) 545-2188

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

4775 Longview Run
Decatur, GA 30035-6007

Mailing address

4775 Longview Run
Decatur, GA 30035-6007

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1377475200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377475200000",
    "number": "1164856167",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4775 LONGVIEW RUN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300356007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4775 LONGVIEW RUN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300356007",
            "telephone_number": "470-545-2188"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SMITH OUT REACH FAMILY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-26",
        "last_updated": "2013-08-26",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "LAKEASHA",
        "authorized_official_title_or_position": "CEO, CFO",
        "authorized_official_telephone_number": "470-545-2188"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; 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.