Circle of Friends: Celebrating Life, Inc

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

License

155014LEX Issued in GA

Legal business name

CIRCLE OF FRIENDS: CELEBRATING LIFE, INC

Practice address

806 Old Mill TRL
Ball Ground, GA 30107-5182

Phone

(678) 783-0126

Fax

(678) 935-3997

NPI assigned

May 13, 2013

Organization subpart

No

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

Authorized official

Name

Lisa Williams

Title

Executive Director

Phone

(678) 850-1064

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1368403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368403200000",
    "number": "1770929150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 WESTPARK CT",
            "address_2": "SUITE 200",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302693572",
            "telephone_number": "678-850-1064",
            "fax_number": "678-935-3997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "806 OLD MILL TRL",
            "city": "BALL GROUND",
            "state": "GA",
            "postal_code": "301075182",
            "telephone_number": "678-783-0126",
            "fax_number": "678-935-3997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CIRCLE OF FRIENDS: CELEBRATING LIFE, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-13",
        "last_updated": "2013-05-13",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LISA",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "678-850-1064"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "155014LEX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blue Ridge Mountain Recovery Center, LLC
• Maria Brown
• Bruce Chiropractic Inc.
• Jerimy Jerome Bruce, D.C.
• Patti Catlett
• Dodd Surgical Assisiting
• Dodd Surgical Assisting, LLC
• David D Dodd, OPA-C, CSA
• Dorene Ebangha Etarock, FNP-C
• Naquana Fields

• All providers in Ball Ground, GA
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.