Provider Demographics
NPI:1467846261
Name:FROM CONCEPTION TO DESTINY, INC.
Entity Type:Organization
Organization Name:FROM CONCEPTION TO DESTINY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROLLINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-596-5256
Mailing Address - Street 1:2001 MARTIN LUTHER KING JR DR SW STE 229
Mailing Address - Street 2:
Mailing Address - City:ATLANTA
Mailing Address - State:GA
Mailing Address - Zip Code:30310-5809
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:866-454-6959
Practice Address - Street 1:2001 MARTIN LUTHER KING JR DR SW STE 229
Practice Address - Street 2:
Practice Address - City:ATLANTA
Practice Address - State:GA
Practice Address - Zip Code:30310-5809
Practice Address - Country:US
Practice Address - Phone:678-705-9914
Practice Address - Fax:866-454-6959
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-19
Last Update Date:2015-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253J00000XAgenciesFoster Care Agency