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KELLY'S LIFE CENTER
NPI 1144521428
Community Based Residential Treatment Facility, Mental Illness in Ellenwood, GA

Active since November 03, 2010
3895 TOLLIVER HILLS DR, ELLENWOOD, GA 30294(404) 228-7985(404) 963-7812 Get Directions Write a Review

NPPES record last updated: November 3, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Kelly's Life Center NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KELLY'S LIFE CENTER (NPI 1144521428) is a healthcare organization registered as a community based residential treatment facility, mental illness in Ellenwood, Georgia and active in the NPI registry since November 2010. The organization lists Teressa Douglas, Owner, as its authorized official.

NPPES Registry Identity

NPI1144521428
Entity TypeOrganization
Primary Taxonomy320800000X
Legal Business NameKELLY'S LIFE CENTER
Location Address3895 TOLLIVER HILLS DREllenwood, GA 30294-1209
Mailing Address1616 Columbia DrDecatur, GA 30032-4613 · (404) 228-7985 · Fax (404) 963-7812
Phone(404) 228-7985
Fax(404) 963-7812
Organization SubpartNo
Authorized OfficialTeressa DouglasOwner · (404) 228-7985
Enumeration DateNovember 3, 2010
✔ NPI 1144521428 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities
Taxonomy Code320800000X
License✔ Licensed in GA · 031012958
Definition
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.
Also ListedAssisted Living FacilityTaxonomy 310400000X · License 031012958 (GA)
3895 TOLLIVER HILLS DR, Ellenwood, GA 30294
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Kelly's Life Center's NPI number?

The NPI number for Kelly's Life Center is 1144521428. It was assigned to this organization in the NPPES registry on November 3, 2010.

Where is Kelly's Life Center located?

Kelly's Life Center is located at 3895 Tolliver Hills Dr, Ellenwood, GA 30294. The listed phone number is (404) 228-7985.

What is Kelly's Life Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Kelly's Life Center was last updated on November 3, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.