Active NPI
The Art of Living Cla LLC.
- Community/Behavioral Health Agency
- Stone Mountain, GA
National Provider Identifier
1831468818
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- THE ART OF LIVING CLA LLC.
- Practice address
- 1668 South Hairston Rd
Stone Mountain, GA 30088 - Phone
- (770) 323-2945
- NPI assigned
- Dec 21, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Chrishonda Burgess
- Title
- Ceo
- Phone
- (404) 683-4444
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1668 South Hairston Rd
Stone Mountain, GA 30088
Mailing address
3995 Ambrose Way
Ellenwood, GA 30294
Phone (404) 683-4444
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 545233218A | Medicaid | GA |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1324425600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1324425600000",
"number": "1831468818",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3995 AMBROSE WAY",
"city": "ELLENWOOD",
"state": "GA",
"postal_code": "30294",
"telephone_number": "404-683-4444",
"fax_number": "404-212-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1668 SOUTH HAIRSTON RD",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "30088",
"telephone_number": "770-323-2945"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE ART OF LIVING CLA LLC.",
"organizational_subpart": "NO",
"enumeration_date": "2011-12-21",
"last_updated": "2011-12-21",
"status": "A",
"authorized_official_last_name": "BURGESS",
"authorized_official_first_name": "CHRISHONDA",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "404-683-4444",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "545233218A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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 Dec 21, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.