NPIMap

Organization Active NPI

Abundant Life Psychiatric Services, LLC

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Clayton, GA
National Provider Identifier
1245919430
Registry record updated Oct 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
ABUNDANT LIFE PSYCHIATRIC SERVICES, LLC
Practice address
621 Highway 441 S Ste 2
Clayton, GA 30525-5435
Phone
(706) 613-4485
Fax
(762) 212-4368
NPI assigned
Jul 14, 2023
Last updated
Oct 14, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2026

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

Authorized official

Name
Deborah Ramona Racadag, BSN, RN, CCHP-NNPI 1881137149
Title
Office Administrator/Owner
Phone
(706) 225-9254

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X Primary

Addresses

Primary practice location

621 Highway 441 S Ste 2
Clayton, GA 30525-5435

Mailing address

621 Hwy 441 South
Unit 2
Clayton, GA 30525-0030
Phone (706) 613-4485

National Provider Directory

National Provider Directory

Locations

621 Highway 441 S
Ste 2
Clayton, GA 30525
Phone (706) 613-4485

Practitioners & affiliated clinicians

Practitioners 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1689292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791936000000",
    "number": "1245919430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "621 HWY 441 SOUTH",
            "address_2": "UNIT 2",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305250030",
            "telephone_number": "706-613-4485",
            "fax_number": "762-212-4368"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 HIGHWAY 441 S STE 2",
            "city": "CLAYTON",
            "state": "GA",
            "postal_code": "305255435",
            "telephone_number": "706-613-4485",
            "fax_number": "762-212-4368"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ABUNDANT LIFE PSYCHIATRIC SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-14",
        "last_updated": "2026-10-14",
        "certification_date": "2026-10-14",
        "status": "A",
        "authorized_official_last_name": "RACADAG",
        "authorized_official_first_name": "DEBORAH",
        "authorized_official_middle_name": "RAMONA",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR/OWNER",
        "authorized_official_telephone_number": "706-225-9254",
        "authorized_official_credential": "BSN, RN, CCHP-N"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clayton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2026; 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.