OrganizationActive
Out the Blue, LLC
NPI 1265164875 · Mental Health Clinic/Center (Including Community Mental Health Center) · Atlanta, GA
Provider details
- NPI number
- 1265164875
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Dominique Dew, Ceo(404) 625-2841
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(60/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
5 Concourse Pkwy
Atlanta, GA 30328-5350
Phone: (470) 827-7356
Street-level locationGet directions
Mailing address
8205 Saint Clair Dr Ne
Atlanta, GA 30329-2686
Registry dates
- Enumerated
- 2022-06-30
- Last updated
- 2022-06-30
- Certified
- 2022-06-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.