P Praxis·MD
● Active Type 2 · Organization

Center For Authentic Life & Relationship, Llc

Clinic/Center·Kennesaw, GA· NPI 1366906778 · Enumerated 2019 · 7 years on NPI
Center For Authentic Life & Relationship, Llc is 1 of 662 clinic/center organizations in Georgia.
NPI age
7 years
Enumerated 2019-01-30
Primary specialty
Clinic/Center
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blankenship
Managing Partner
Last NPPES update
2025-06-04
Source: monthly bulk 2026-05

How this organization compares

Across 662 active clinic/center providers in Georgia.

NPI age
7 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2019 → 2026

2019-01Enumerated in NPPES
2019 2026

Where they practice

Primary practice location
1301 Shiloh Rd Nw Ste 530
Kennesaw, GA 301447153
📞 6785166902fax 4704011090
Mailing address
1426 Olde Forge Ln
Woodstock, GA 301891553
📞 6785166902

Authorized official

Roy Alin Blankenship, LPC, LMFT
Managing Partner
📞 6785166902

Individual providers at this organization

2 individual providers on file at this primary practice address.

Specialties

  • Clinic/Center Primary
    Definition to come...
    taxonomy 261QM0801X

Practice context

Multi-provider organization. 2 individual providers on file at this primary address.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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