Mary Hall Freedom House, Inc.

Primary specialty

Substance Abuse Rehabilitation FacilityTaxonomy code 324500000X

License

060-499-D Issued in GA

Legal business name

MARY HALL FREEDOM HOUSE, INC.

Practice address

8995 Roswell Rd
Sandy Springs, GA 30350-1849

Phone

(770) 642-5500

Fax

(770) 729-4481

NPI assigned

Oct 21, 2016

Organization subpart

No

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

Authorized official

Name

Lucy G Hall, CACII

Title

Chief Executive Officer

Phone

(404) 915-9258

Specialties & licenses 2

Addresses

Tax ID family

Mary Hall Freedom House Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Mary Hall Freedom House, Inc.

  • Substance Abuse Rehabilitation Facility
  • Sandy Springs, GA
  • NPI 1609086008
  NPD tax ID

Locations

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

{
    "created_epoch": "1477008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1618876800000",
    "number": "1447701743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 501205",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311501205",
            "telephone_number": "770-642-5500",
            "fax_number": "770-729-4481"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8995 ROSWELL RD",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303501849",
            "telephone_number": "770-642-5500",
            "fax_number": "770-729-4481"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY HALL FREEDOM HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-21",
        "last_updated": "2021-04-20",
        "certification_date": "2021-04-20",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "LUCY",
        "authorized_official_middle_name": "G",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "404-915-9258",
        "authorized_official_credential": "CACII"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "003139070A",
            "primary": false
        },
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "060-499-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• John Wesley Martin
• Kennijah Martin
• Savannah Carole Martin
• Tara Martin
• Rachael Martinez Germosen, RDN
• Mary Hall Freedom House, Inc.
• Massage and Medspa Solutions
• Isabella Mateu, MD
• Andrea Yvette Mathador
• Kennedy Mathews

• Substance Abuse Rehabilitation Facility in Sandy Springs, GA
• Providers in Sandy Springs, GA by specialty
• Substance Abuse Rehabilitation Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2021; 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.