OrganizationActive
Life Intervention Network Center
NPI 1588059232 · Mental Health Counselor · Ellenwood, GA
Provider details
- NPI number
- 1588059232
- Entity type
- Organization
- Primary specialty
- Mental Health CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Kelvin Brown, Mental Health/Substance Abuse Couns(850) 264-5745
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
2551 River Forest Ct
Ellenwood, GA 30294-1270
Phone: (850) 264-5745
Street-level locationGet directions
Mailing address
Po Box 360975
Decatur, GA 30036-0975
Registry dates
- Enumerated
- 2015-03-31
- Last updated
- 2015-03-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.