Healthcare Provider Details

I. General information

NPI: 1710897350
Provider Name (Legal Business Name): SERVING AT-RISK FAMILIES EVERYWHERE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2245 WISTERIA DR STE 200
SNELLVILLE GA
30078-3799
US

IV. Provider business mailing address

3464 PRESERVE RUN TRL
LOGANVILLE GA
30052-8307
US

V. Phone/Fax

Practice location:
  • Phone: 678-216-7599
  • Fax:
Mailing address:
  • Phone: 703-350-2714
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateNULL

VIII. Authorized Official

Name: GEOVANI AYALA
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 703-350-2174