Kirkwood Teen Center – Public Health or Welfare Agency, NPI 1154428985

Kirkwood Teen Center is a healthcare provider. based in Decatur, Georgia. specializing in Public Health or Welfare Agency. The NPI Number for Kirkwood Teen Center is 1154428985

Main info

Organization
Name
Kirkwood Teen Center
NPI
1154428985
Phone
(404) 371-0255
Address
445 WINN WAY
Authorized Official
SANDRA E BOUCHELION DISTRICT DIRECTOR/CEO MD
Enumeration Date
20 September 2006
Last Update Date
22 August 2020
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience43
Completeness80
Years active:19State licenses:0Digital endpointsUpdated within 12 months

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Provider Addresses for Kirkwood Teen Center

  • Winn Way, Decatur, DeKalb County, Georgia, 30030, United States

    PO BOX 987

    DECATUR, GA 300301707

    Phone: (404) 371-0255

    Fax: (404) 371-9902

    Type: Mailing

  • Atlanta Police Department Zone 6 Precinct, Hosea L Williams Drive Southeast, Kirkwood, Atlanta, DeKalb County, Georgia, 30334, United States

    ATLANTA, GA 30317

    Phone: (404) 371-0255

    Fax: (404) 371-9902

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30030)

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Reviews

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Frequently asked questions

What NPI should I save for Kirkwood Teen Center?
Save NPI 1154428985 if you need a stable reference for Kirkwood Teen Center.
Is Kirkwood Teen Center active in the national directory?
Kirkwood Teen Center's public NPI profile is in an active state.
What field does Kirkwood Teen Center work in?
You can think of Kirkwood Teen Center as practicing within Public Health or Welfare Agency. Clinical services aligned with this taxonomy classification.
Where does public data place Kirkwood Teen Center?
The snapshot lists Decatur, Georgia for Kirkwood Teen Center; download NPPES for the complete set.
Is Kirkwood Teen Center a real provider?
This page reflects official NPPES data for NPI 1154428985. Always confirm identity and privileges with the practice and licensing boards.

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