# DENWARD HEALTHY LIVING INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1265274898
- **Authorized official:** TYRONE H MCCOY (ADMINISTRATOR)
- **Authorized official phone:** (404) 824-4881

## Contact information

- **Practice address:** 2453 POWDER SPRINGS RD SW STE 320H, MARIETTA, GA 30064-4570
- **Practice address phone:** (770) 892-6770
- **Practice address fax:** (770) 892-6938
- **Mailing address:** 2453 POWDER SPRINGS RD SW STE 320H, MARIETTA, GA 30064-4570
- **Mailing address phone:** (770) 892-6770
- **Mailing address fax:** (770) 892-6938

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101Y00000X | Counselor | — | NULL | — |
| 101Y00000X | Counselor | — | — | — |
| 171M00000X | Case Manager/Care Coordinator | — | NULL | — |
| 171M00000X | Case Manager/Care Coordinator | — | — | — |
| 172V00000X | Community Health Worker | — | NULL | — |
| 172V00000X | Community Health Worker | — | — | — |
| 251C00000X | Developmentally Disabled Services Day Training Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 251S00000X | Community/Behavioral Health Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/12/2024
- **Last updated:** 03/25/2026