NPI age
10 years
Enumerated 2015-09-15
● Active Type 2 · Organization
Subpart
Child, Youth, Adolescents, And Families
Child, Youth, Adolescents, And Families is 1 of 8 intermediate care facility, mental illness organizations in Georgia.
Primary specialty
Intermediate Care Facility, Mental Illness
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Thomas
Registered Nurse
Last NPPES update
2015-09-15
Source: monthly bulk 2026-05
How this organization compares
Across 8 active intermediate care facility, mental illness providers in Georgia.
NPI age
10 years
↓ 3 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2015 → 2026
2015-09Enumerated in NPPES
2015
2026
Where they practice
Primary practice location
1396 Southlake Plaza Dr
Morrow, GA 302601756
Mailing address
1396 Southlake Plaza Dr
Morrow, GA 302601756
Authorized official
Elanta Thomas, REGISTERED NURSE
Registered Nurse
📞 7704782640
Individual providers at this organization
4 individual providers on file at this primary practice address.
- Lekisha Glenn, MS, NCC, LAPC Counselor NPI 1184296261
- Marlo Mathis, D.MIN, MA, LPC Counselor NPI 1639621931
- Nichelle Reefer Counselor NPI 1073152294
- Elanta Thomas, R.N Registered Nurse NPI 1679015960
Specialties
-
Intermediate Care Facility, Mental Illness PrimaryA nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
Practice context
Multi-provider organization. 4 individual providers on file at this primary address.
Subpart of Behavioral Health Dervices.
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Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.