Hero House Physicians Group LLC

Primary specialty

Group Psychotherapy PsychologistTaxonomy code 103TP2701X

Legal business name

HERO HOUSE PHYSICIANS GROUP LLC

Practice address

1318 Shiloh Trail East NW
Kennesaw, GA 30144-2044

Phone

(949) 215-5795

NPI assigned

Mar 27, 2012

Organization subpart

No

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

Authorized official

Name

Randy Haveson

Title

Ceo

Phone

(949) 215-5796

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1390780800000",
    "number": "1316213101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 GLENGATE CV",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303287255",
            "telephone_number": "949-215-5795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1318 SHILOH TRAIL EAST NW",
            "city": "KENNESAW",
            "state": "GA",
            "postal_code": "301442044",
            "telephone_number": "949-215-5795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERO HOUSE PHYSICIANS GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2014-01-27",
        "status": "A",
        "authorized_official_last_name": "HAVESON",
        "authorized_official_first_name": "RANDY",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-215-5796"
    },
    "taxonomies": [
        {
            "code": "103TP2701X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Group Psychotherapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• V'Ronica R Henry
• Damali Aida Hepburn, PHARM.D.
• Marc David Herbert
• Kristen Hernandez, LCSW
• Patsy Ann Herndon, LPC
• Roxana Herrera
• Catelyn Nicole Herring, PTA
• Ally Nicole Herrington, MS, ATC,LAT
• Kaleigh Herron, NP
• Hester Eye Associates, PC

• Group Psychotherapy Psychologist in Kennesaw, GA
• Providers in Kennesaw, GA by specialty
• Group Psychotherapy Psychologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2014; 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.