ETERNAL IVY FOUNDATION INC.
NPI 1306783865
Clinic/Center - Mental Health (Including Community Mental Health Center) in Douglasville, GA

Q: What is Eternal Ivy Foundation Inc.'s NPI number?

The NPI number for Eternal Ivy Foundation Inc. is 1306783865. It was assigned to this organization in the NPPES registry on May 1, 2026.

Q: What is Eternal Ivy Foundation Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

Active since May 01, 2026

6000 STEWART PKWY UNIT 5646, DOUGLASVILLE, GA 30154(404) 919-8836 Get Directions Write a Review

NPPES record last updated: May 1, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

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About Eternal Ivy Foundation Inc. NPPES

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

ETERNAL IVY FOUNDATION INC. (NPI 1306783865) is a healthcare organization registered as a mental health (including community mental health center) in Douglasville, Georgia and active in the NPI registry since May 2026. The organization lists Djuan Williams, Owner, as its authorized official.

NPPES Registry Identity

NPI1306783865

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameETERNAL IVY FOUNDATION INC.

Location Address6000 STEWART PKWY UNIT 5646Douglasville, GA 30154-1109

Mailing Address6000 Stewart Pkwy Unit 5646Douglasville, GA 30154-1109

Phone(404) 919-8836

Organization SubpartNo

Authorized OfficialDjuan WilliamsOwner · (404) 919-8836

Enumeration DateMay 1, 2026

NPPES CertifiedMay 1, 2026

✔ NPI 1306783865 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Mental Health (Including Community Mental Health Center)Ambulatory Health Care Facilities

Taxonomy Code261QM0801X

Also ListedClinic/Center · Community HealthTaxonomy 261QC1500X

Also ListedCommunity Based Residential Treatment Facility, Mental IllnessTaxonomy 320800000X

6000 STEWART PKWY UNIT 5646, Douglasville, GA 30154

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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 Eternal Ivy Foundation Inc.'s NPI number?

The NPI number for Eternal Ivy Foundation Inc. is 1306783865. It was assigned to this organization in the NPPES registry on May 1, 2026.

Where is Eternal Ivy Foundation Inc. located?

Eternal Ivy Foundation Inc. is located at 6000 Stewart Pkwy Unit 5646, Douglasville, GA 30154. The listed phone number is (404) 919-8836.

What is Eternal Ivy Foundation Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Mental Health (Including Community Mental Health Center), with taxonomy code 261QM0801X.

When was this NPI record last updated?

The NPPES record for Eternal Ivy Foundation Inc. was last updated on May 1, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 months 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.