HEALTHY MIND - FULL LIFE, LLC
NPI 1396316915
Clinic/Center - Adult Mental Health in Atlanta, GA

Q: What is Healthy Mind - Full Life, LLC's NPI number?

The NPI number for Healthy Mind - Full Life, LLC is 1396316915. It was assigned to this organization in the NPPES registry on July 6, 2021.

Q: What is Healthy Mind - Full Life, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

Active since July 06, 2021

1778 CENTURY BLVD NE STE A, ATLANTA, GA 30345(202) 352-5891 Get Directions Write a Review

NPPES record last updated: July 6, 2021. Verified against the NPPES registry weekly; last sync: August 30, 2026.

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About Healthy Mind - Full Life, Llc NPPES

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

HEALTHY MIND - FULL LIFE, LLC (NPI 1396316915) is a healthcare organization registered as an adult mental health in Atlanta, Georgia and active in the NPI registry since July 2021. The organization maintains a secondary practice location in Chamblee and lists Kendall L Blake, Owner, as its authorized official.

NPPES Registry Identity

NPI1396316915

Entity TypeOrganization

Primary Taxonomy261QM0850X

Legal Business NameHEALTHY MIND - FULL LIFE, LLC

Location Address1778 CENTURY BLVD NE STE AAtlanta, GA 30345-3398

Mailing Address1778 Century Blvd Ne Ste AAtlanta, GA 30345-3398 · (202) 352-5891

Phone(202) 352-5891

Organization SubpartNo

Authorized OfficialKendall L BlakeOwner · (202) 352-5891

Enumeration DateJuly 6, 2021

NPPES CertifiedJuly 6, 2021

✔ NPI 1396316915 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Adult Mental HealthAmbulatory Health Care Facilities

Taxonomy Code261QM0850X

Definition

An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults.

1778 CENTURY BLVD NE STE A, Atlanta, GA 30345

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Secondary Practice Location 1

Location 13230 Henderson Mill Rd Unit 8Chamblee, GA 30341-6040 · Phone (202) 352-5891

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.

KENDALL BLAKE LCSW

Social Worker (Clinical)

1778 CENTURY BLVD NE STE A
ATLANTA, GA 30345

Dekalb County (202) 352-5891

SARAH MENG LPC

Counselor (Professional)

1778 CENTURY BLVD NE STE A
ATLANTA, GA 30345

Dekalb County (404) 638-6650

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 Healthy Mind - Full Life, LLC's NPI number?

The NPI number for Healthy Mind - Full Life, LLC is 1396316915. It was assigned to this organization in the NPPES registry on July 6, 2021.

Where is Healthy Mind - Full Life, LLC located?

Healthy Mind - Full Life, LLC is located at 1778 Century Blvd NE Ste A, Atlanta, GA 30345. The listed phone number is (202) 352-5891.

What is Healthy Mind - Full Life, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Adult Mental Health, with taxonomy code 261QM0850X.

When was this NPI record last updated?

The NPPES record for Healthy Mind - Full Life, LLC was last updated on July 6, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.