NPI age
13 years
Enumerated 2013-03-01
● Active Type 2 · Organization
Providence Residential & Outpatient Ptsd Services (props)
Providence Residential & Outpatient Ptsd Services (props) is 1 of 101 community based residential treatment facility, mental illness organizations in Georgia.
Primary specialty
Community Based Residential Treatment Facility, Mental Illness
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Berry-Mitchell
President
Last NPPES update
2013-03-01
Source: monthly bulk 2026-05
How this organization compares
Across 101 active community based residential treatment facility, mental illness providers in Georgia.
NPI age
13 years
≈ at median (14 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2013 → 2026
2013-03Enumerated in NPPES
2013
2026
Where they practice
Primary practice location
3400 Chapel Hill Rd, Suite 100 Pmb #08
Douglasville, GA 301351739
Mailing address
Po Box 5464
Douglasville, GA 301540008
Authorized official
Felicia Berry-Mitchell, PHD
President
📞 6788825371
Individual providers at this organization
10 individual providers on file at this primary practice address.
- Felicia Berry-Mitchell, PHD Psychologist NPI 1154420214
- Kathy Brown-Bragg, MSW Social Worker NPI 1114357886
- Cynthia Freeman-Smalls, L.P.C. Counselor NPI 1316213069
- Chantay Golson, LPC, CAMS Counselor NPI 1588924401
- Sylvia Krow, LPC Counselor NPI 1316382948
- Joyce McWilliams, PHARM D Pharmacist NPI 1043980527
- Clinton Payne, LPC Counselor NPI 1922681097
- Latesa Rogers Nurse's Aide NPI 1376120352
- Canzada Twyman Counselor NPI 1982029393
- Nichelle Wilson, AUD, CCC-A Audiologist NPI 1730632290
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.
Practice context
Multi-provider organization. 10 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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.