P Praxis·MD
● Active Type 2 · Organization

Mister Life Coach

Residential Treatment Facility, Emotionally Disturbed Children·Decatur, GA· NPI 1619403219 · Enumerated 2017 · 9 years on NPI
Mister Life Coach is 1 of 33 residential treatment facility, emotionally disturbed children organizations in Georgia.
NPI age
9 years
Enumerated 2017-05-03
Primary specialty
Residential Treatment Facility, Emotionally Disturbed Children
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Green
Life Coach
Last NPPES update
2017-05-03
Source: monthly bulk 2026-05

How this organization compares

Across 33 active residential treatment facility, emotionally disturbed children providers in Georgia.

NPI age
9 years
↓ 5 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2017 → 2026

2017-05Enumerated in NPPES
2017 2026

Where they practice

Primary practice location
3681 N Decatur Rd Apt R11
Decatur, GA 300321062
📞 6315537131
Mailing address
Po Box 283
Rex, GA 302730283

Authorized official

Robert Green
Life Coach
📞 6315537131

Specialties

  • Residential Treatment Facility, Emotionally Disturbed Children Primary
    A residential facility that provides habilitation services and other care and treatment to children diagnosed with mental health illness, behavioral issues, and intellectual disabilities and are not able to live independently.
    taxonomy 322D00000X

Practice context

Single-site organization. Only one practice location on file.

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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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