Active NPI
We the Family Wellness Home
- Mental Illness Community Based Residential Treatment Facility
- Decatur, GA
National Provider Identifier
1184059107
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Illness Community Based Residential Treatment Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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 DirectoryLocations
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.