NPIMap

Organization Active NPI

Embracing Hope LLC

  • Adult Mental Health Clinic/Center
  • McDonough, GA
National Provider Identifier
1225690894
Registry record updated Jan 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
EMBRACING HOPE LLC
Practice address
40 Macon St Ste D
McDonough, GA 30253-3233
Phone
(678) 831-7377
Fax
(678) 487-5340
NPI assigned
Jul 3, 2019
Last updated
Jan 27, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 27, 2021

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

Authorized official

Name
Charonda P Gardner, LPCNPI 1457853160
Title
Organizer
Phone
(404) 392-6280

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
Adult Mental Health Clinic/Center 261QM0850X NU Primary

Addresses

Primary practice location

40 Macon St Ste D
McDonough, GA 30253-3233

Mailing address

PO Box 1027
Rex, GA 30273-8027

National Provider Directory

National Provider Directory

Locations

1697 N Expressway
Griffin, GA 30223
Phone (404) 392-6280

Practitioners & affiliated clinicians

Practitioners 4

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": "1562112000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1611705600000",
    "number": "1225690894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1027",
            "city": "REX",
            "state": "GA",
            "postal_code": "302738027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 MACON ST STE D",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302533233",
            "telephone_number": "678-831-7377",
            "fax_number": "678-487-5340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMBRACING HOPE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-07-03",
        "last_updated": "2021-01-27",
        "certification_date": "2021-01-27",
        "status": "A",
        "authorized_official_last_name": "GARDNER",
        "authorized_official_first_name": "CHARONDA",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "ORGANIZER",
        "authorized_official_telephone_number": "404-392-6280",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in McDonough, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2021; 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.