P Praxis·MD
● Active Type 2 · Organization

Residential Living, Inc.

Community/Behavioral Health·Jonesboro, GA· NPI 1629365705 · Enumerated 2011 · 14 years on NPI
Residential Living, Inc. is 1 of 2449 community/behavioral health organizations in Georgia.
NPI age
14 years
Enumerated 2011-07-08
Primary specialty
Community/Behavioral Health
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Broderick
Owner
Last NPPES update
2011-07-08
Source: monthly bulk 2026-05

How this organization compares

Across 2449 active community/behavioral health providers in Georgia.

NPI age
14 years
≈ at median (13 yr)
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2011 → 2026

2011-07Enumerated in NPPES
2011 2026

Where they practice

Primary practice location
7861 Collinswood Ct
Jonesboro, GA 302363399
📞 6789277332fax 6784893009
Mailing address
7861 Collinswood Ct
Jonesboro, GA 302363399
📞 6789277332fax 6784893009

Authorized official

Valeria Broderick
Owner
📞 6789277332

Specialties

  • Community/Behavioral Health Primary
    A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals...
    GA license #031011481 taxonomy 251S00000X

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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