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

200 Hannover Park Road
Suite 100
Sandy Springs, GA 30350-1803

Phone

(770) 642-5500

Fax

(770) 642-5406

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Ms. Lucy Hall-Gainer, NCAC

Title

President & Ceo

Phone

(770) 642-5500

Specialties & licenses 1

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 1447701743
  NPD tax ID

Locations

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1609086008",
    "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": "770-642-5406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HANNOVER PARK ROAD",
            "address_2": "SUITE 100",
            "city": "SANDY SPRINGS",
            "state": "GA",
            "postal_code": "303501803",
            "telephone_number": "770-642-5500",
            "fax_number": "770-642-5406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY HALL FREEDOM HOUSE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HALL-GAINER",
        "authorized_official_first_name": "LUCY",
        "authorized_official_title_or_position": "PRESIDENT & CEO",
        "authorized_official_telephone_number": "770-642-5500",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "NCAC"
    },
    "taxonomies": [
        {
            "code": "324500000X",
            "taxonomy_group": "",
            "desc": "Substance Abuse Rehabilitation Facility",
            "state": "GA",
            "license": "060-499-D",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• 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
• Megan Michele Matney, MS, RD, LD

• 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 Aug 22, 2020; 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.