NPI age
8 years
Enumerated 2017-09-25
● Active Type 2 · Organization
Catalyst For Change Atlanta, Llc
Catalyst For Change Atlanta, Llc is 1 of 662 clinic/center organizations in Georgia.
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Heard
Owner
Last NPPES update
2017-10-03
Source: monthly bulk 2026-05
How this organization compares
Across 662 active clinic/center providers in Georgia.
NPI age
8 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2017 → 2026
2017-09Enumerated in NPPES
2017
2026
Where they practice
Primary practice location
2801 Buford Hwy Ne Ste 501
Brookhaven, GA 303292137
Mailing address
107 Shadow Lake Dr
Conyers, GA 300944129
Authorized official
Mikaela N Heard, LPC
Owner
📞 6787480128
Individual providers at this organization
5 individual providers on file at this primary practice address.
- Kimberly Black Marriage & Family Therapist NPI 1851008932
- Patricia Drerup-Cotter, LPC Counselor NPI 1598864415
- James Kingman, M.S. Counselor NPI 1770934523
- Margaret Lipham, LCSW Social Worker NPI 1417549809
- Ebony Mallard, LPC Counselor NPI 1942560412
Specialties
-
Clinic/Center PrimaryDefinition to come...
Practice context
Multi-provider organization. 5 individual providers on file at this primary address.
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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.