YOUR TEEN CONNECTION
NPI 1427154483
Public Health or Welfare in Decatur, GA

Active since September 16, 2006
2801 CANDLER RD, SUITE 67, DECATUR, GA 30034(404) 241-8311(404) 241-0460 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Public Health or Welfare

About YOUR TEEN CONNECTION

This page provides the complete NPI Profile along with additional information for Your Teen Connection, a provider established in Decatur, Georgia operating as a Public Health Or Welfare. The healthcare provider is registered in the NPI registry with number 1427154483 assigned on September 2006. The practitioner's primary taxonomy code is 251K00000X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The provider's other name is Your Teen Connection. The authorized official of this NPI record is Sandra E Bouchelion Md (District Director/ceo)

NPI
1427154483 Verify this NPI
Provider Legal Name
DEKALB COUNTY BOARD OF HEALTH
Other Organization Name
YOUR TEEN CONNECTION
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2801 CANDLER RD SUITE 67 DECATUR, GA 30034
Location Phone
(404) 241-8311
Location Fax
(404) 241-0460
Mailing Address
445 WINN WAY PO BOX 987 DECATUR, GA 30030
Mailing Phone
(404) 294-3701
Mailing Fax
(404) 508-7862
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-16-2006
Last Update Date
08-22-2020
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Public Health or Welfare

Taxonomy Code
251K00000X
Type
Agencies

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SANDRA E BOUCHELION MD

Authorized Official Title
DISTRICT DIRECTOR/CEO
Authorized Official Phone
(404) 294-3787

Reviews for YOUR TEEN CONNECTION

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Other Providers at the Same Location


The following 4 providers are registered at the same or a nearby location.

Optometrist
2801 CANDLER RD, SUITE 66
DECATUR, GA 30034
Eyewear Supplier
2801 CANDLER RD, SUITE 66
DECATUR, GA 30034
Optometrist
2801 CANDLER RD, SUITE 66
DECATUR, GA 30034
Clinic/Center (End-Stage Renal Disease (ESRD) Treatment)
2801 CANDLER RD, SUITE 203
DECATUR, GA 30034

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1427154483, enumerated as an "organization" on September 16, 2006.

The provider is located at 2801 CANDLER RD SUITE 67 DECATUR, GA 30034 and the phone number is (404) 241-8311.

Public Health or Welfare with taxonomy code 251K00000X.