NPI Code Details Logo

NPI 1508733460

NPI 1508733460 : ALL FAMILY MATTERS, INC : FAYETTEVILLE, GA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1508733460
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ALL FAMILY MATTERS, INC 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/23/2025
-----------------------------------------------------
    Last Update Date     |    10/23/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    101 DEVANT ST STE 103 
-----------------------------------------------------
    City                 |    FAYETTEVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30214-2711
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    770-778-9667
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    101 DEVANT ST STE 103 
-----------------------------------------------------
    City                 |    FAYETTEVILLE
-----------------------------------------------------
    State                |    GA
-----------------------------------------------------
    Zip                  |    30214-2711
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CFO
-----------------------------------------------------
    Name                 |    MRS. STEPHANIE  KIMBROUGH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    770-778-9667
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251S00000X
-----------------------------------------------------
    Taxonomy Name        |    Community/Behavioral Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    343900000X
-----------------------------------------------------
    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    101Y00000X
-----------------------------------------------------
    Taxonomy Name        |    Counselor
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.