Eternal Ivy Foundation Inc.
NPI 1306783865 · Mental Health Clinic/Center (Including Community Mental Health Center) · Douglasville, GA
Eternal Ivy Foundation Inc. is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Douglasville, GA (NPI 1306783865).
Provider details
- NPI number
- 1306783865
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Djuan Williams, Owner(404) 919-8836
Specialties & taxonomies
Ambulatory Health Care Facilities
- Community Health Clinic/Center261QC1500X
Ambulatory Health Care Facilities
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
Mailing address
Registry dates
- Enumerated
- 2026-05-01
- Last updated
- 2026-05-01
- Certified
- 2026-05-01
Frequently asked questions
- What is Eternal Ivy Foundation Inc.'s NPI number?
- Eternal Ivy Foundation Inc.'s National Provider Identifier (NPI) is 1306783865, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Eternal Ivy Foundation Inc.?
- Eternal Ivy Foundation Inc. is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Eternal Ivy Foundation Inc. located?
- Eternal Ivy Foundation Inc.'s practice location on file with NPPES is 6000 Stewart Pkwy Unit 5646, Douglasville, GA 30154-1109.
- What is Eternal Ivy Foundation Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Eternal Ivy Foundation Inc. is (404) 919-8836.
- Who is the authorized official for Eternal Ivy Foundation Inc.?
- The authorized official listed on Eternal Ivy Foundation Inc.'s NPPES record is Djuan Williams, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Eternal Ivy Foundation Inc.'s NPI active?
- Yes — Eternal Ivy Foundation Inc.'s NPI (1306783865) is active in the NPPES registry as of the last update on 2026-05-01.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.