Organization Active NPI

Perfectly Imperfect Parenting, LLC

  • Adolescent and Children Mental Health Clinic/Center
  • Roswell, GA
National Provider Identifier
1528956299
Registry record updated Jun 24, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adolescent and Children Mental Health Clinic/CenterTaxonomy code 261QM0855X
Legal business name
PERFECTLY IMPERFECT PARENTING, LLC
Practice address
675 Mansell Rd Ste 115
Roswell, GA 30076-4877
Phone
(770) 280-5792
NPI assigned
Jun 24, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2025

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

Authorized official

Name
Krystle LopezNPI 1760376586
Title
Owner
Phone
(305) 401-4882

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adolescent and Children Mental Health Clinic/Center 261QM0855X Primary

Addresses

Primary practice location

675 Mansell Rd Ste 115
Roswell, GA 30076-4877

Mailing address

675 Mansell Rd Ste 115
Roswell, GA 30076-4877
Phone (770) 280-5792

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1750723200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750723200000",
    "number": "1528956299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "675 MANSELL RD STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764877",
            "telephone_number": "770-280-5792"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "675 MANSELL RD STE 115",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300764877",
            "telephone_number": "770-280-5792"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERFECTLY IMPERFECT PARENTING, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-24",
        "last_updated": "2025-06-24",
        "certification_date": "2025-06-24",
        "status": "A",
        "authorized_official_last_name": "LOPEZ",
        "authorized_official_first_name": "KRYSTLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "305-401-4882"
    },
    "taxonomies": [
        {
            "code": "261QM0855X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adolescent and Children Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2025; 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.