Grace Harbour, Inc.

Primary specialty

Community/Behavioral Health AgencyTaxonomy code 251S00000X

Legal business name

GRACE HARBOUR, INC.

Practice address

23 Eastbrook BND
Peachtree City, GA 30269-1565

Phone

(770) 486-1140

NPI assigned

Oct 5, 2012

Last updated

Oct 5, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Kevin FreemanNPI 1689741993

Title

President and Ceo

Phone

(770) 486-1140

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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.

• Kevin Andrew Freeman, PHD, LPC, NCC, MAC

  • Professional Counselor
  • Peachtree City, GA
  • NPI 1689741993
  Authorized official Same address or phone
• Janice L. Hunt, MS, LPC, NCC

  • Professional Counselor
  • Peachtree City, GA
  • NPI 1598994501
  NPD (past)
• Selina Marie McCray, LPC

  • Professional Counselor
  • Stockbridge, GA
  • NPI 1649544743
  NPD (past)

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

{
    "created_epoch": "1349395200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349395200000",
    "number": "1306198007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "23 EASTBROOK BND",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691565"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "23 EASTBROOK BND",
            "city": "PEACHTREE CITY",
            "state": "GA",
            "postal_code": "302691565",
            "telephone_number": "770-486-1140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HARBOUR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-05",
        "last_updated": "2012-10-05",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "KEVIN",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "770-486-1140",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gomed, LLC
• Richelle Angela Gonzalez-Brown, M.D
• Shannon Gonzalez, L.AC
• Richard W Gorman, MD
• Grace Harbour, Inc
• Bridget Grady
• Sharon R Grant, LPC
• Brittani Marie Gray, LPC
• Hannah Gray, RPH
• Jack Gibson Gray, D.O.

• Community/Behavioral Health Agency in Peachtree City, GA
• Providers in Peachtree City, GA by specialty
• Community/Behavioral Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2012; 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.