Organization Active NPI

The Healing Hub LLC

  • Clinical Social Worker
  • Austell, GA
National Provider Identifier
1063208445
Registry record updated Apr 15, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
THE HEALING HUB LLC
Practice address
5090 Ivy Cottage LN
Austell, GA 30106-2673
Phone
(803) 629-9799
NPI assigned
Apr 15, 2025
Last updated
Apr 15, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 15, 2025

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

Authorized official

Name
Jazmine Diamond
Title
Owner/ Clinical Therapist
Phone
(404) 458-7821

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

5090 Ivy Cottage LN
Austell, GA 30106-2673

Mailing address

5090 Ivy Cottage LN
Austell, GA 30106-2673
Phone (803) 629-9799

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1744675200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744675200000",
    "number": "1063208445",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5090 IVY COTTAGE LN",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062673",
            "telephone_number": "803-629-9799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5090 IVY COTTAGE LN",
            "city": "AUSTELL",
            "state": "GA",
            "postal_code": "301062673",
            "telephone_number": "803-629-9799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEALING HUB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-15",
        "last_updated": "2025-04-15",
        "certification_date": "2025-04-15",
        "status": "A",
        "authorized_official_last_name": "DIAMOND",
        "authorized_official_first_name": "JAZMINE",
        "authorized_official_title_or_position": "OWNER/ CLINICAL THERAPIST",
        "authorized_official_telephone_number": "404-458-7821"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Austell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.