MEDICARE: GEORGIA YOUTH NETWORK INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251S00000X	Community/Behavioral Health Agency	NONE	GA

General Provider Information

NPI Number	:	1841486305
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GEORGIA YOUTH NETWORK INC

Provider Business Mailing Address
First Line	:	PO BOX 82322
Second Line	:
City	:	CONYERS
State	:	GA
Zip	:	30013-9434
Country	:	US
Telephone Number	:	770-344-8704
Fax Number	:	770-216-1723

Provider Business Practice Location Address
First Line	:	925 MAIN ST
Second Line	:	SUITE 104
City	:	STONE MOUNTAIN
State	:	GA
Zip	:	30083-3098
Country	:	US
Telephone Number	:	770-344-8704
Fax Number	:	770-216-1723

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MRS. JANINE PORTER
Credential	:
Telephone Number	:	770-344-8704

Provider Enumeration Date	:	09/19/2007
Last Update Date	:	09/19/2007

Similar Medicare Providers

1609734383 — SHAJEH HOME CARE LLC
Practice Location Address:

925 MAIN ST STE 30021
STONE MOUNTAIN, GA
30083-3098

Practice Phone: 470-469-2850
Practice Fax: 470-469-2850

1619835279 — SHAJEH HOME CARE LLC
Practice Location Address:

925 MAIN ST # 30021
STONE MOUNTAIN, GA
30083-3098

Practice Phone: 470-469-2850
Practice Fax: 470-469-2850

1326370545 — MR. SAMUEL FENDERSON
Practice Location Address:

925 MAIN ST # 300-07
STONE MOUNTAIN, GA
30083-3098

Practice Phone: 678-799-2498
Practice Fax:

1063778983 — HERITAGE MEDICAL HOUSE CALL
Practice Location Address:

925 MAIN STREET , SUITE 300-13
STONE MOUNTAIN, GA
30083-3098

Practice Phone: 888-461-9765
Practice Fax: 678-381-1684

1962872218 — EASTSIDE SURGICAL ASSISTANTS LLC
Practice Location Address:

925 MAIN ST , SUITE 300-07
STONE MOUNTAIN, GA
30083-3098

Practice Phone: 678-799-2498
Practice Fax:

1205295425 — PRN SITTERS, LLC
Practice Location Address:

925 MAIN ST , SUITE 300-21
STONE MOUNTAIN, GA
30083-3098

Practice Phone: 770-885-7485
Practice Fax:

Directions to “GEORGIA YOUTH NETWORK INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.