Organization
GREENLEAF OUTREACH SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NATYSHIA SMITH MSW (DIRECTOR)
(470) 977-2747
Entity
Organization
Contact information
Practice address
12461 VETERANS MEMORIAL HWY STE 778, DOUGLASVILLE, GA 30134-2025
(470) 977-2747
(472) 427-5443
Mailing address
12461 VETERANS MEMORIAL HWY STE 778, DOUGLASVILLE, GA 30134-2025
(470) 977-2747
(470) 427-5443
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
251B00000X
Case Management Agency
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
252Y00000X
Early Intervention Provider Agency
—
—
253J00000X
Foster Care Agency
—
—
302R00000X
Health Maintenance Organization
—
—
305R00000X
Preferred Provider Organization
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
01/19/2022
Last updated
01/17/2024
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