Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Eternal Ivy Foundation Inc.

Q: What type of organization is Eternal Ivy Foundation Inc.?

Eternal Ivy Foundation Inc. is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).

Mental Health Clinic/Center (Including Community Mental Health Center) in Douglasville, GA · enumerated 2026 · authorized official Djuan Williams, Owner.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1306783865

Verified

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Registry record

Entity type Organization (Type 2)

Legal business name Eternal Ivy Foundation Inc.

Practice address 6000 Stewart Pkwy Unit 5646, Douglasville, GA, 30154

Phone (404) 919-8836

Enumeration date May 1, 2026

Last updated in NPPES May 1, 2026

Taxonomy & classification

261QC1500X Community Health Clinic/Center Ambulatory Health Care Facilities Secondary

261QM0801X Mental Health Clinic/Center (Including Community Mental Health Center) Ambulatory Health Care Facilities Primary

320800000X Mental Illness Community Based Residential Treatment Facility Residential Treatment Facilities Secondary

Authorized official

Name Djuan Williams

Title Owner

Phone (404) 919-8836

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

What type of organization is Eternal Ivy Foundation Inc.?

Eternal Ivy Foundation Inc. is registered in NPPES as a Mental Health Clinic/Center (Including Community Mental Health Center) (its primary provider taxonomy).

What is a Type 2 NPI?

A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-05-01.