Provider Demographics
NPI:1881459840
Name:HIS WAY LIFESTYLE AND EDUCATION CENTER
Entity type:Organization
Organization Name:HIS WAY LIFESTYLE AND EDUCATION CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:BILINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAWKINS FRANCIS
Authorized Official - Suffix:
Authorized Official - Credentials:DNP
Authorized Official - Phone:470-580-1034
Mailing Address - Street 1:320 KADEN CT
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30252-6256
Mailing Address - Country:US
Mailing Address - Phone:470-580-1034
Mailing Address - Fax:
Practice Address - Street 1:122 S MAIN ST
Practice Address - Street 2:
Practice Address - City:JONESBORO
Practice Address - State:GA
Practice Address - Zip Code:30236-3530
Practice Address - Country:US
Practice Address - Phone:470-580-1352
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-19
Last Update Date:2024-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral Health