CENTER FOR AUTHENTIC LIFE & RELATIONSHIP, LLC
NPI 1366906778
Clinic/Center - Mental Health (Including Community Mental Health Center) in Kennesaw, GA

Q: What is Center For Authentic Life & Relationship, LLC'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 January 30, 2019CLIA 11D2316892 · Waiver

1301 SHILOH RD NW STE 530, KENNESAW, GA 30144(678) 516-6902(470) 401-1090 Get Directions Write a Review

NPPES record last updated: June 4, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Jun 4, 2025, Jan 30, 2019 (2 updates tracked since 2019).

On this page

About Center For Authentic Life & Relationship, Llc NPPES

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

CENTER FOR AUTHENTIC LIFE & RELATIONSHIP, LLC (NPI 1366906778) is a healthcare organization registered as a mental health (including community mental health center) in Kennesaw, Georgia and active in the NPI registry since January 2019. The organization holds a CLIA Waiver certificate valid through January 13, 2027 and lists Roy Alin Blankenship, Managing Partner, as its authorized official.

NPPES Registry Identity

NPI1366906778

Entity TypeOrganization

Primary Taxonomy261QM0801X

Legal Business NameCENTER FOR AUTHENTIC LIFE & RELATIONSHIP, LLC

Location Address1301 SHILOH RD NW STE 530Kennesaw, GA 30144-7153

Mailing Address1426 Olde Forge LnWoodstock, GA 30189-1553 · (678) 516-6902

Phone(678) 516-6902

Fax(470) 401-1090

Organization SubpartNo

Authorized OfficialRoy Alin BlankenshipManaging Partner · (678) 516-6902

Enumeration DateJanuary 30, 2019

Last NPPES UpdateJune 4, 20252 updates tracked since enumeration

NPPES CertifiedJune 4, 2025

✔ NPI 1366906778 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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

Taxonomy Code261QM0801X

1301 SHILOH RD NW STE 530, Kennesaw, GA 30144

Open in Google Maps ↗

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2316892

Center For Authentic Life & Relationship,llc · Kennesaw, GA

Active · expires Jan 13, 2027

CLIA Number11D2316892

Laboratory TypePractitioner Other

Certificate Effective DateJanuary 14, 2025

Certificate Expiration DateJanuary 13, 2027

Laboratory DirectorRoy A. Blakenship

Laboratory Phone(678) 516-6902

Laboratory LocationCenter For Authentic Life & Relationship,llc1301 Shiloh Road NW, Suite 530, Kennesaw, GA 30144

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROY ALLN BLANKENSHIP LPC,LMFT,CCADC, CSAT

Counselor (Professional)

1301 SHILOH RD NW STE 530
KENNESAW, GA 30144

Cobb County (678) 516-6902

MICHAEL DAVID SHORTER LCSW

Social Worker (Clinical)

1301 SHILOH RD NW STE 530
KENNESAW, GA 30144

Cobb County (770) 376-0354

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 Center For Authentic Life & Relationship, LLC's NPI number?

The NPI number for Center For Authentic Life & Relationship, LLC is 1366906778. It was assigned to this organization in the NPPES registry on January 30, 2019.

Where is Center For Authentic Life & Relationship, LLC located?

Center For Authentic Life & Relationship, LLC is located at 1301 Shiloh Rd NW Ste 530, Kennesaw, GA 30144. The listed phone number is (678) 516-6902.

What is Center For Authentic Life & Relationship, LLC'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.

Does Center For Authentic Life & Relationship, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 11D2316892) is associated with this NPI, valid through January 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Center For Authentic Life & Relationship, LLC was last updated on June 4, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.