Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Center for Authentic Life & Relationship, LLC

Organization Mental Health Clinic/Center (Including Community Mental Health Center) · NPI 1366906778

Center for Authentic Life & Relationship, LLC is a Mental Health Clinic/Center (Including Community Mental Health Center) in Kennesaw, Georgia. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1301 Shiloh Rd NW Ste 530
Kennesaw, GA 30144-7153
Phone: (678) 516-6902
Fax: (470) 401-1090
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Mental Health Clinic/Center (Including Community Mental Health Center) (primary) Taxonomy 261QM0801X

Record details

NPI number1366906778
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Roy Blankenship — Managing Partner · (678) 516-6902
NPI enumeratedJanuary 30, 2019
Last updated in NPPESJune 4, 2025
Certification dateJune 4, 2025
Mailing address1426 Olde Forge Ln, Woodstock, GA 30189-1553

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