Center for Authentic Life & Relationship, LLC
NPI 1366906778 · Mental Health Clinic/Center (Including Community Mental Health Center) · Kennesaw, GA
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Center for Authentic Life & Relationship, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) organization in Kennesaw, GA (NPI 1366906778).
Provider details
- NPI number
- 1366906778
- Entity type
- Organization
- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)Ambulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Roy Blankenship, Managing Partner(678) 516-6902
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
Mailing address
Registry dates
- Enumerated
- 2019-01-30
- Last updated
- 2025-06-04
- Certified
- 2025-06-04
Frequently asked questions
- What is Center for Authentic Life & Relationship, LLC's NPI number?
- Center for Authentic Life & Relationship, LLC's National Provider Identifier (NPI) is 1366906778, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Center for Authentic Life & Relationship, LLC?
- Center for Authentic Life & Relationship, LLC is classified in the NPPES registry as Mental Health Clinic/Center (Including Community Mental Health Center) (Ambulatory Health Care Facilities).
- Where is Center for Authentic Life & Relationship, LLC located?
- Center for Authentic Life & Relationship, LLC's practice location on file with NPPES is 1301 Shiloh Rd Nw Ste 530, Kennesaw, GA 30144-7153.
- What is Center for Authentic Life & Relationship, LLC's phone number?
- The practice phone number listed in the NPPES registry for Center for Authentic Life & Relationship, LLC is (678) 516-6902.
- Does Center for Authentic Life & Relationship, LLC accept Medicare?
- Center for Authentic Life & Relationship, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Center for Authentic Life & Relationship, LLC?
- The authorized official listed on Center for Authentic Life & Relationship, LLC's NPPES record is Roy Blankenship, Managing Partner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Center for Authentic Life & Relationship, LLC's NPI active?
- Yes — Center for Authentic Life & Relationship, LLC's NPI (1366906778) is active in the NPPES registry as of the last update on 2025-06-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.