Eternal Ivy Foundation Inc
Eternal Ivy Foundation Inc is a Community Health Clinic/Center in Douglasville, Georgia. Registered with an NPI since 2026.
- In the registry since
- 2026
- Specialties on file
- 3
What do these letters mean?
- Inc — Incorporated
- A form of business registration, not a clinical qualification.
Practice location Address checks out
6000 Stewart Pkwy Unit 5646Douglasville, GA 30154-1109
Phone: (404) 919-8836
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
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 |
|---|---|
| Community Health Clinic/Center | Taxonomy 261QC1500X |
| Mental Illness Community Based Residential Treatment Facility | Taxonomy 320800000X |
Record details
| NPI number | 1306783865 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Djuan Williams — Owner · (404) 919-8836 |
| NPI enumerated | May 1, 2026 |
| Last updated in NPPES | May 1, 2026 |
| Certification date | May 1, 2026 |
| Mailing address | 6000 Stewart Pkwy Unit 5646, Douglasville, GA 30154-1109 |