Healing Space of Athens LLC

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

Legal business name

HEALING SPACE OF ATHENS LLC

Practice address

1 Huntington Rd Ste 703
Athens, GA 30606-7214

Phone

(706) 425-8900

NPI assigned

Jun 6, 2024

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Aline RobolinNPI 1770631053

Title

Counselor

Phone

(706) 425-8900

Specialties & licenses 1

Addresses

Other names 2

• Healing Space of Athens LLC Doing business as
• Healing Space of Athens, LLC Doing business as

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aline Robolin, LPC

  • Professional Counselor
  • Athens, GA
  • NPI 1770631053
  Medicare reassignment NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1717632000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1729728000000",
    "number": "1043051501",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 703",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067214",
            "telephone_number": "706-425-8900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 HUNTINGTON RD STE 703",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306067214",
            "telephone_number": "706-425-8900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING SPACE OF ATHENS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-06",
        "last_updated": "2024-10-24",
        "certification_date": "2024-10-24",
        "status": "A",
        "authorized_official_last_name": "ROBOLIN",
        "authorized_official_first_name": "ALINE",
        "authorized_official_title_or_position": "COUNSELOR",
        "authorized_official_telephone_number": "706-425-8900"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healing Space of Athens LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healing Space of Athens, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Monique Mellissa Hayles, RN
• Denise E Haynes, RN
• Katrina Head, PA
• Sarah B Head, LCSW
• Healing in Connection
• Healing Space, LLC
• Health Wealth Safe, Inc
• Healthy Smiles
• Dawn Michelle Healy, LCSW
• Perry R Hearn, MD

• Professional Counselor in Athens, GA
• Providers in Athens, GA by specialty
• Professional Counselor in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.