OrganizationActive
Healing and Renewal Wellness
NPI 1215561139 · Adolescent and Children Mental Health Clinic/Center · Atlanta, GA
Provider details
- NPI number
- 1215561139
- Entity type
- Organization
- Primary specialty
- Adolescent and Children Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Katelynn Villari, Clinical Director(678) 471-8090
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(64/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 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
464 Cherokee Ave Se Ste 202
Atlanta, GA 30312-3260
Phone: (678) 379-7019
Street-level locationGet directions
Mailing address
138 Tye St Se Apt 1
Atlanta, GA 30316-1155
Registry dates
- Enumerated
- 2020-02-29
- Last updated
- 2020-02-29
- Certified
- 2020-02-29
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.