Leap of Faith Community Outreach LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

LEAP OF FAITH COMMUNITY OUTREACH LLC

Practice address

1755 The Exchange SE
Suite 138
Atlanta, GA 30339-7400

Phone

(770) 952-9272

Fax

(770) 952-9273

NPI assigned

Feb 14, 2013

Organization subpart

No

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

Authorized official

Name

Mr. Demario D PhillipsNPI 1871833434

Title

Ceo

Phone

(678) 612-4093

Specialties & licenses 1

Addresses

Locations

Practitioners 2

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

• Demario Phillips

  • Counselor
  • Atlanta, GA
  • NPI 1871833434
  NPD (past) Authorized official
• Linda Wynn, LCSW

  • Clinical Social Worker
  • Covington, GA
  • NPI 1609130426
  NPD (past)

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

{
    "created_epoch": "1360800000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1369094400000",
    "number": "1659611499",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1458 INDIAN FOREST CT",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300835436",
            "telephone_number": "404-288-7266"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1755 THE EXCHANGE SE",
            "address_2": "SUITE 138",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303397400",
            "telephone_number": "770-952-9272",
            "fax_number": "770-952-9273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAP OF FAITH COMMUNITY OUTREACH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-02-14",
        "last_updated": "2013-05-21",
        "status": "A",
        "authorized_official_last_name": "PHILLIPS",
        "authorized_official_first_name": "DEMARIO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "678-612-4093",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deborah Leake, CPNP
• Cecilia Andrea Leal, LMSW
• Ticiana B Leal, M.D.
• Elizabeth A Leamy, LPC
• Leap Forward Autism Services LLC
• Leaps and Bounds Speech Therapy Services
• Learning Behavior and Love
• Learning on the Log
• Learningrx
• Angel Janee' Leary

• 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 May 21, 2013; 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.