OrganizationActive
Community Teen Coalition, Inc
NPI 1063958973 · Community/Behavioral Health Agency · Norcross, GA
Community Teen Coalition, Inc is a Community/Behavioral Health Agency organization in Norcross, GA (NPI 1063958973).
Provider details
- NPI number
- 1063958973
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Dominic Stokes, Founder/Ceo(678) 438-5051
- License
- 07063025 (GA)
Specialties & taxonomies
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
6035 Brookside Oak Cir
Norcross, GA 30093-1754
Phone: (404) 931-2911
Street-level locationGet directions
Mailing address
403 Highway 74 N
Peachtree City, GA 30269-3963
Registry dates
- Enumerated
- 2017-01-16
- Last updated
- 2017-01-16
Frequently asked questions
- What is Community Teen Coalition, Inc's NPI number?
- Community Teen Coalition, Inc's National Provider Identifier (NPI) is 1063958973, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Community Teen Coalition, Inc?
- Community Teen Coalition, Inc is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Community Teen Coalition, Inc located?
- Community Teen Coalition, Inc's practice location on file with NPPES is 6035 Brookside Oak Cir, Norcross, GA 30093-1754.
- What is Community Teen Coalition, Inc's phone number?
- The practice phone number listed in the NPPES registry for Community Teen Coalition, Inc is (404) 931-2911.
- Who is the authorized official for Community Teen Coalition, Inc?
- The authorized official listed on Community Teen Coalition, Inc's NPPES record is Dominic Stokes, Founder/Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Community Teen Coalition, Inc's NPI active?
- Yes — Community Teen Coalition, Inc's NPI (1063958973) is active in the NPPES registry as of the last update on 2017-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.