Rebuilding Hope

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

Legal business name

REBUILDING HOPE

Practice address

2392 Harpers Way
Duluth, GA 30097-5176

Phone

(601) 527-3533

Fax

(678) 903-4190

NPI assigned

Jun 9, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Theresa Mosley, EDD, LMFT

Title

Owner

Phone

(601) 527-3533

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1591660800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1591660800000",
    "number": "1043835747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2392 HARPERS WAY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975176",
            "telephone_number": "601-527-3533",
            "fax_number": "678-903-4190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2392 HARPERS WAY",
            "city": "DULUTH",
            "state": "GA",
            "postal_code": "300975176",
            "telephone_number": "601-527-3533",
            "fax_number": "678-903-4190"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "REBUILDING HOPE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-06-09",
        "last_updated": "2020-06-09",
        "certification_date": "2020-06-09",
        "status": "A",
        "authorized_official_last_name": "MOSLEY",
        "authorized_official_first_name": "THERESA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "601-527-3533",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "EDD,  LMFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Marriage & Family Therapist",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00330775A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Marriage & Family Therapist in Duluth, GA
• Providers in Duluth, GA by specialty
• Marriage & Family Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.