Organization
CENTER FOR AUTHENTIC LIFE & RELATIONSHIP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROY ALIN BLANKENSHIP LPC, LMFT (MANAGING PARTNER)
(678) 516-6902
Entity
Organization
Contact information
Practice address
1301 SHILOH RD NW STE 530, KENNESAW, GA 30144-7153
(678) 516-6902
(470) 401-1090
Mailing address
1426 OLDE FORGE LN, WOODSTOCK, GA 30189-1553
(678) 516-6902
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Enumeration date
01/30/2019
Last updated
06/04/2025
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