Organization Active NPI

Healing for All LLC

  • Child & Adolescent Psychiatry Physician
  • East Point, GA
National Provider Identifier
1093249393
Registry record updated Apr 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Child & Adolescent Psychiatry PhysicianTaxonomy code 2084P0804X
License
067942 Issued in GA
Legal business name
HEALING FOR ALL LLC
Practice address
3307 Sir Henry St
East Point, GA 30344-5831
Phone
(832) 646-3349
Fax
(423) 822-5729
NPI assigned
Apr 13, 2017
Last updated
Apr 13, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2017

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

Authorized official

Name
Sherri Broadwater, MDNPI 1932394798
Title
Owner
Phone
(832) 646-3349

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
Child & Adolescent Psychiatry Physician 2084P0804X 067942 GA Primary

Addresses

Primary practice location

3307 Sir Henry St
East Point, GA 30344-5831

Mailing address

3307 Sir Henry St
East Point, GA 30344-5831
Phone (832) 646-3349

Other names 1

  • Sherri M Broadwater Other name

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": "1492041600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1492041600000",
    "number": "1093249393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3307 SIR HENRY ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445831",
            "telephone_number": "832-646-3349",
            "fax_number": "423-822-5729"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3307 SIR HENRY ST",
            "city": "EAST POINT",
            "state": "GA",
            "postal_code": "303445831",
            "telephone_number": "832-646-3349",
            "fax_number": "423-822-5729"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING FOR ALL LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-04-13",
        "last_updated": "2017-04-13",
        "status": "A",
        "authorized_official_last_name": "BROADWATER",
        "authorized_official_first_name": "SHERRI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-646-3349",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "GA",
            "license": "067942",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sherri M Broadwater",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in East Point, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 2017; 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.