Family Leadership Serivces Inc

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

FAMILY LEADERSHIP SERIVCES INC

Practice address

11170 Weeping Willow PL
Hampton, GA 30228-3286

Phone

(704) 287-1573

NPI assigned

Sep 10, 2014

Organization subpart

No

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

Authorized official

Name

Ahmad Blakeney

Title

Co-Owner

Phone

(704) 287-1573

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1410307200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1410307200000",
    "number": "1285035188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11170 WEEPING WILLOW PL",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283286",
            "telephone_number": "704-287-1573"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11170 WEEPING WILLOW PL",
            "city": "HAMPTON",
            "state": "GA",
            "postal_code": "302283286",
            "telephone_number": "704-287-1573"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY LEADERSHIP SERIVCES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-10",
        "last_updated": "2014-09-10",
        "status": "A",
        "authorized_official_last_name": "BLAKENEY",
        "authorized_official_first_name": "AHMAD",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "704-287-1573"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Providers in Hampton, GA by specialty
• Mental Illness Community Based Residential Treatment Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; 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.