Atlanta Life Journeys Services, LLC

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

ATLANTA LIFE JOURNEYS SERVICES, LLC

Practice address

3196 Dogwood Dr
Atlanta, GA 30354-1149

Phone

(813) 417-6944

Fax

(318) 402-0913

NPI assigned

May 10, 2018

Organization subpart

No

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

Authorized official

Name

Darrell Fitzgerald Deas, IT

Title

It Director

Phone

(318) 436-9717

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1851881353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "921 SECOND ST",
            "city": "STONE MOUNTAIN",
            "state": "GA",
            "postal_code": "300833017",
            "telephone_number": "318-436-9717",
            "fax_number": "318-402-0913"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3196 DOGWOOD DR",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303541149",
            "telephone_number": "813-417-6944",
            "fax_number": "318-402-0913"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ATLANTA LIFE JOURNEYS SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "DEAS",
        "authorized_official_first_name": "DARRELL",
        "authorized_official_middle_name": "FITZGERALD",
        "authorized_official_title_or_position": "IT DIRECTOR",
        "authorized_official_telephone_number": "318-436-9717",
        "authorized_official_credential": "IT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 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.