Organization Active NPI

This Is Healing, LLLP

  • Adult Mental Health Clinic/Center
  • Chamblee, GA
National Provider Identifier
1417595836
Registry record updated Dec 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Mental Health Clinic/CenterTaxonomy code 261QM0850X
Legal business name
THIS IS HEALING, LLLP
Practice address
3604 Chamblee Tucker Rd
Chamblee, GA 30341-4418
Phone
(740) 561-3041
NPI assigned
Dec 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2019

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

Authorized official

Name
Tisa Stanley
Title
Credentialing Specialist
Phone
(770) 284-1787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Mental Health Clinic/Center 261QM0850X Primary

Addresses

Primary practice location

3604 Chamblee Tucker Rd
Chamblee, GA 30341-4418

Mailing address

3604 Chamblee Tucker Rd
Chamblee, GA 30341-4418

National Provider Directory

National Provider Directory

Locations

3604 Chamblee Tucker Rd
Chamblee, GA 30341
Phone (740) 561-3041

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1576454400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576454400000",
    "number": "1417595836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3604 CHAMBLEE TUCKER RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414418"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3604 CHAMBLEE TUCKER RD",
            "city": "CHAMBLEE",
            "state": "GA",
            "postal_code": "303414418",
            "telephone_number": "740-561-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THIS IS HEALING, LLLP",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-16",
        "last_updated": "2019-12-16",
        "certification_date": "2019-12-16",
        "status": "A",
        "authorized_official_last_name": "STANLEY",
        "authorized_official_first_name": "TISA",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "770-284-1787"
    },
    "taxonomies": [
        {
            "code": "261QM0850X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Adult Mental Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chamblee, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2019; 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.