Organization Active NPI

Family Advocating Voices of Resiliency Treatment Center, LLC

  • Community/Behavioral Health Agency
  • Stone Mountain, GA
National Provider Identifier
1457610453
Registry record updated May 10, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
FAMILY ADVOCATING VOICES OF RESILIENCY TREATMENT CENTER, LLC
Practice address
798 Rays Rd
Suite 9496
Stone Mountain, GA 30083-3144
Phone
(404) 499-0078
NPI assigned
May 10, 2012
Last updated
May 10, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2012

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

Authorized official

Name
Carmen Coates
Title
Ceo/Owner
Phone
(404) 587-8286

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X NU Primary

Addresses

Primary practice location

798 Rays Rd
Suite 9496
Stone Mountain, GA 30083-3144

Mailing address

798 Rays Rd
Suite 9496
Stone Mountain, GA 30083-3144
Phone (404) 499-0078

Other names 1

  • FAVOR Treatment Center, LLC Other name

National Provider Directory

National Provider Directory

Locations

798 Rays Rd
Ste 9496
Stone Mountain, GA 30083
Phone (404) 499-0078

NPI Registry JSON

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

{
    "created_epoch": "1336608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1336608000000",
    "number": "1457610453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "798 RAYS RD",
            "address_2": "SUITE 9496",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833144",
            "telephone_number": "404-499-0078"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "798 RAYS RD",
            "address_2": "SUITE 9496",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833144",
            "telephone_number": "404-499-0078"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY ADVOCATING VOICES OF RESILIENCY TREATMENT CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-10",
        "last_updated": "2012-05-10",
        "status": "A",
        "authorized_official_last_name": "COATES",
        "authorized_official_first_name": "CARMEN",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "404-587-8286"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "FAVOR Treatment Center, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Stone Mountain, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2012; 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.