Out the Blue, LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

OUT THE BLUE, LLC

Practice address

5 Concourse Pkwy
Atlanta, GA 30328-5350

Phone

(470) 827-7356

NPI assigned

Jun 30, 2022

Organization subpart

No

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

Authorized official

Name

Dominique C Dew, LCSWNPI 1548705486

Title

Ceo

Phone

(404) 625-2841

Specialties & licenses 1

Addresses

Practitioners 1

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

• Dominique Dew, LMSW

  • Clinical Social Worker
  • Decatur, GA
  • NPI 1548705486
  NPD Authorized official

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

{
    "created_epoch": "1656547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656547200000",
    "number": "1265164875",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8205 SAINT CLAIR DR NE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303292686",
            "telephone_number": "404-625-2841"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 CONCOURSE PKWY",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303285350",
            "telephone_number": "470-827-7356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUT THE BLUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-30",
        "last_updated": "2022-06-30",
        "certification_date": "2022-06-30",
        "status": "A",
        "authorized_official_last_name": "DEW",
        "authorized_official_first_name": "DOMINIQUE",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-625-2841",
        "authorized_official_credential": "LCSW"
    },
    "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": []
}

• Our House, Inc.
• Our Lady of Perpetual Help Home
• Opal Ousley, PHD
• Alaa Houssam Ousta, MD
• Out Loud Counseling
• Raquel Outland
• Illona M Outlaw, REGISTERED NURSE RN
• Katia Fayola Outlaw
• Mychal Outlaw
• Aniyah Outler

• Mental Health Clinic/Center (Including Community Mental Health Center) in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 30, 2022; 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.