Organization Active NPI

Hope for Change Family Services, LLC

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1932562535
Registry record updated Mar 31, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
HOPE FOR CHANGE FAMILY SERVICES, LLC
Practice address
2571 Candler Rd Apt E4
Decatur, GA 30032-6508
Phone
(910) 257-1084
NPI assigned
Mar 31, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2016

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

Authorized official

Name
Lakisha Outlaw
Title
Organizer/Owner
Phone
(910) 257-1084

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2571 Candler Rd Apt E4
Decatur, GA 30032-6508

Mailing address

2571 Candler Rd., Apt. E4
Decatur, GA 30032
Phone (910) 257-1084

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1459382400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1459382400000",
    "number": "1932562535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2571 CANDLER RD., APT. E4",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "30032",
            "telephone_number": "910-257-1084"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2571 CANDLER RD APT E4",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300326508",
            "telephone_number": "910-257-1084"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOPE FOR CHANGE FAMILY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-31",
        "last_updated": "2016-03-31",
        "status": "A",
        "authorized_official_last_name": "OUTLAW",
        "authorized_official_first_name": "LAKISHA",
        "authorized_official_title_or_position": "ORGANIZER/OWNER",
        "authorized_official_telephone_number": "910-257-1084"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2016; 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.