Outreach City

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

OUTREACH CITY

Doing business as

Outreach City

Practice address

201 17TH St NW Ste 300
Atlanta, GA 30363-1191

Phone

(404) 458-9997

NPI assigned

Jul 6, 2017

Last updated

Jun 16, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Austin Benamon

Title

Chief Executive Officer

Phone

(404) 458-9997

Specialties & licenses 6

Addresses

Other names 1

• Outreach City Doing business as

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

{
    "created_epoch": "1499299200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1508387903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "26671 LOGANBERRY DR",
            "city": "RICHMOND HEIGHTS",
            "state": "OH",
            "postal_code": "441431142",
            "telephone_number": "404-458-9997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 17TH ST NW STE 300",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303631191",
            "telephone_number": "404-458-9997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OUTREACH CITY",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-07-06",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "BENAMON",
        "authorized_official_first_name": "AUSTIN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-458-9997"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": null,
            "primary": true
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "OH",
            "license": null,
            "primary": false
        },
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": "GA",
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": "GA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Outreach City",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Illona M Outlaw, REGISTERED NURSE RN
• Katia Fayola Outlaw
• Mychal Outlaw
• Aniyah Outler
• Jolene Toinette Outley
• Outreach Therapy Services, LLC
• Jaiden Outten
• Presly Ouy
• William Randolph Oven, MSW
• Overachievers Behavioral Health Services

• Community/Behavioral Health Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.