# KLEAN PLATE COMMUNITY OUTREACH

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1962324459
- **Authorized official:** KATRICE SIMMONS (FOUNDER)
- **Authorized official phone:** (678) 281-5443

## Contact information

- **Practice address:** 4983 JONESBORO RD, FOREST PARK, GA 30297-3551
- **Practice address phone:** (678) 281-5443
- **Mailing address:** 4983 JONESBORO RD, FOREST PARK, GA 30297-3551
- **Mailing address phone:** (678) 281-5443

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |

## Other

- **Enumeration date:** 07/28/2026
- **Last updated:** 07/28/2026