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

Predestined for Greatness

Organization Emotionally Disturbed Childrens' Residential Treatment Facility · NPI 1154537181

Predestined for Greatness is an Emotionally Disturbed Childrens' Residential Treatment Facility in Ellenwood, Georgia. Licensed in Georgia. Registered with an NPI since 2007.

Licensed in
GA
In the registry since
2007

Practice location Address checks out

4865 Brookstone Pkwy
Ellenwood, GA 30294-2126
Phone: (770) 320-9278
Show map & directions

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

Specialties & licences

Emotionally Disturbed Childrens' Residential Treatment Facility (primary) Taxonomy 322D00000X · Licence CCI001578 (GA)

Record details

NPI number1154537181
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dion Thomas — Ceo · (770) 320-9278
NPI enumeratedMay 15, 2007
Last updated in NPPESAugust 22, 2020
Mailing address4865 Brookstone Pkwy, Ellenwood, GA 30294-2126