Organization Active NPI

Healing House, Inc.

  • Mental Health Clinic/Center (Including Community Mental Health Center)
  • Loganville, GA
National Provider Identifier
1366934697
Registry record updated Jun 1, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X
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

Updated by the provider on Jun 1, 2018

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)CodeLicenseStatePrimary
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 Doing business as

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.