NPI age
7 years
Enumerated 2019-04-15
● Active Type 2 · Organization
Straight Street Life Center Inc
Straight Street Life Center Inc is 1 of 122 peer specialist organizations in Georgia.
Primary specialty
Peer Specialist
Plus 1 secondary
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Frazier
Executive Director
Last NPPES update
2019-04-15
Source: monthly bulk 2026-05
How this organization compares
Across 122 active peer specialist providers in Georgia.
NPI age
7 years
↑ 5 yr above median
Practice locations
1
0 secondary on file
Subspecialties
1
In the 14% of peers with subspecialties
NPI lifetime · 2019 → 2026
2019-04Enumerated in NPPES
2019
2026
Where they practice
Primary practice location
12461 Veterans Memorial
Douglasville, GA 30134
Mailing address
12461 Veterans Memorial
Douglasville, GA 30134
Authorized official
Jessica L Frazier, BA, CERTIFIED LIFE C
Executive Director
📞 4049513969
Specialties
-
Peer Specialist PrimaryIndividuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
-
Case Manager/Care CoordinatorA person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan...
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 →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.