Kokyu Healing Arts

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

Legal business name

KOKYU HEALING ARTS

Doing business as

Decatur Healing Arts

Practice address

619 E College Ave Ste a
Decatur, GA 30030-5323

Phone

(646) 578-1519

NPI assigned

Jan 17, 2024

Organization subpart

No

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

Authorized official

Name

Nataly Baiz

Title

Director

Phone

(646) 578-1519

Specialties & licenses 1

Addresses

Other names 1

• Decatur Healing Arts Doing business as

Locations

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

{
    "created_epoch": "1705449600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705449600000",
    "number": "1437910460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "619 E COLLEGE AVE STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305323",
            "telephone_number": "646-578-1519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "619 E COLLEGE AVE STE A",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300305323",
            "telephone_number": "646-578-1519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOKYU HEALING ARTS",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-01-17",
        "last_updated": "2024-01-17",
        "certification_date": "2024-01-17",
        "status": "A",
        "authorized_official_last_name": "BAIZ",
        "authorized_official_first_name": "NATALY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "646-578-1519"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Decatur Healing Arts",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mary Elizabeth Koenig, LMSW
• Regina Moon Koepp, PSYD
• Katherine Belle Kohl, M.ED., NCC
• Alka Kohli, MD
• Constantine S Kokenes, MD
• Lewis Timothy Kola, D.MIN
• Brooks Byrd Kolberg, MS
• Rebecca L Kolesky, MD
• Edwinna Kolio-Hicks
• Samantha Julia Kolofske, PHARMD

• Community Health Clinic/Center in Decatur, GA
• Providers in Decatur, GA by specialty
• Community Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 17, 2024; 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.