Healthcare Provider Details

I. General information

NPI: 1508733460
Provider Name (Legal Business Name): ALL FAMILY MATTERS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/23/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 DEVANT ST STE 103
FAYETTEVILLE GA
30214-2711
US

IV. Provider business mailing address

101 DEVANT ST STE 103
FAYETTEVILLE GA
30214-2711
US

V. Phone/Fax

Practice location:
  • Phone: 770-778-9667
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State

VIII. Authorized Official

Name: MRS. STEPHANIE KIMBROUGH
Title or Position: CFO
Credential:
Phone: 770-778-9667