Organization Active NPI

We the Family Wellness Home

  • Mental Illness Community Based Residential Treatment Facility
  • Decatur, GA
National Provider Identifier
1184059107
Registry record updated Sep 10, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
WE THE FAMILY WELLNESS HOME
Practice address
1322 Columbia Dr
Decatur, GA 30032-2826
Phone
(678) 485-6088
NPI assigned
Sep 10, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 10, 2013

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

Authorized official

Name
Malissa McKennie
Title
Ceo
Phone
(678) 485-6099

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1322 Columbia Dr
Decatur, GA 30032-2826

Mailing address

1322 Columbia Dr
Decatur, GA 30032-2826
Phone (678) 485-6088

National Provider Directory

National Provider Directory

Locations

1322 Columbia Dr
Decatur, GA 30032
Phone (678) 485-6088

NPI Registry JSON

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

{
    "created_epoch": "1378771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378771200000",
    "number": "1184059107",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1322 COLUMBIA DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322826",
            "telephone_number": "678-485-6088"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1322 COLUMBIA DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300322826",
            "telephone_number": "678-485-6088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WE THE FAMILY WELLNESS HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-09-10",
        "last_updated": "2013-09-10",
        "status": "A",
        "authorized_official_last_name": "MCKENNIE",
        "authorized_official_first_name": "MALISSA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-485-6099"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "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 Sep 10, 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.