Active NPI
Healing House, Inc.
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Loganville, GA
National Provider Identifier
1366934697
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Legal business name
- HEALING HOUSE, INC.
- Practice address
- 5118 Ashley Falls CT
Loganville, GA 30052-9292 - Phone
- (678) 520-2593
- NPI assigned
- Jun 1, 2018
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Brandon L Hardy, LCSW
- Title
- President
- Phone
- (678) 520-2593
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | GA | Primary |
Addresses
Primary practice location
5118 Ashley Falls CT
Loganville, GA 30052-9292
Mailing address
PO Box 1244
Loganville, GA 30052-0028
Phone (678) 520-2593
Other names 1
- The Healing House
National Provider Directory
National Provider DirectoryLocations
678 Tom Brewer Rd
Loganville, GA 30052
Phone (770) 354-7073
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1527811200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1527811200000",
"number": "1366934697",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1244",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300520028",
"telephone_number": "678-520-2593"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5118 ASHLEY FALLS CT",
"city": "LOGANVILLE",
"state": "GA",
"postal_code": "300529292",
"telephone_number": "678-520-2593"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEALING HOUSE, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2018-06-01",
"last_updated": "2018-06-01",
"status": "A",
"authorized_official_last_name": "HARDY",
"authorized_official_first_name": "BRANDON",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "678-520-2593",
"authorized_official_name_prefix": "Mr.",
"authorized_official_credential": "LCSW"
},
"taxonomies": [
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "The Healing House",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Loganville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.