Organization Active NPI

She Heals It LLC

  • Community/Behavioral Health Agency
  • Decatur, GA
National Provider Identifier
1073370474
Registry record updated Mar 1, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SHE HEALS IT LLC
Practice address
2652 Bull Run Dr
Decatur, GA 30034-2813
Phone
(770) 744-4062
NPI assigned
Mar 1, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2024

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

Authorized official

Name
Tequila McKeiverNPI 1629835020
Title
Owner
Phone
(770) 744-4062

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

2652 Bull Run Dr
Decatur, GA 30034-2813

Mailing address

2652 Bull Run Dr
Decatur, GA 30034-2813
Phone (770) 744-4062

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.

NPI Registry JSON

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709251200000",
    "number": "1073370474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2652 BULL RUN DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342813",
            "telephone_number": "770-744-4062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2652 BULL RUN DR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300342813",
            "telephone_number": "770-744-4062"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHE HEALS IT LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-03-01",
        "status": "A",
        "authorized_official_last_name": "MCKEIVER",
        "authorized_official_first_name": "TEQUILA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-744-4062"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.