NPI age
15 years
Enumerated 2010-11-03
● Active Type 2 · Organization
Kelly'S Life Center
Kelly'S Life Center is 1 of 101 community based residential treatment facility, mental illness organizations in Georgia.
Primary specialty
Community Based Residential Treatment Facility, Mental Illness
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Douglas
Owner
Last NPPES update
2010-11-03
Source: monthly bulk 2026-05
How this organization compares
Across 101 active community based residential treatment facility, mental illness providers in Georgia.
NPI age
15 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
1
In the 33% of peers with subspecialties
NPI lifetime · 2010 → 2026
2010-11Enumerated in NPPES
2010
2026
Where they practice
Primary practice location
3895 Tolliver Hills Dr
Ellenwood, GA 302941209
Mailing address
1616 Columbia Dr
Decatur, GA 300324613
Authorized official
Teressa Douglas
Owner
📞 4042287985
Specialties
-
Community Based Residential Treatment Facility, Mental Illness PrimaryA home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
-
Assisted Living FacilityA facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.