Organization Active NPI

BR8K Thru Support Services

Doing business as Br8k Thru Lyfe Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • College Park, GA
National Provider Identifier
1972266112
Registry record updated Oct 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
Legal business name
BR8K THRU SUPPORT SERVICES
Doing business as
Br8k Thru Lyfe Inc.
Practice address
6150 Old National Hwy
College Park, GA 30349-4367
Phone
(470) 869-2175
NPI assigned
Oct 14, 2021
Last updated
Oct 14, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 14, 2021

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

Authorized official

Name
Jamia Morrow, LGPCNPI 1619630852
Title
Owner
Phone
(470) 869-2175

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU Primary

Addresses

Primary practice location

6150 Old National Hwy
College Park, GA 30349-4367

Mailing address

1441 Woodmont LN NW Ste 1081
Atlanta, GA 30318-2866
Phone (470) 869-2175

Other names 1

  • Br8k Thru Lyfe Inc. Doing business as

National Provider Directory

National Provider Directory

Locations

6150 Old National Hwy
College Park, GA 30349
Phone (470) 869-2175

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1634169600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634169600000",
    "number": "1972266112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1441 WOODMONT LN NW STE 1081",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303182866",
            "telephone_number": "470-869-2175"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6150 OLD NATIONAL HWY",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303494367",
            "telephone_number": "470-869-2175"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BR8K THRU SUPPORT SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-14",
        "last_updated": "2021-10-14",
        "certification_date": "2021-09-15",
        "status": "A",
        "authorized_official_last_name": "MORROW",
        "authorized_official_first_name": "JAMIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "470-869-2175",
        "authorized_official_credential": "LGPC"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Br8k Thru Lyfe Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2021; 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.