Dana Bivens

Individual provider Active NPI Mental Health Counselor · Hiram, GA

NPI 1649934274 · NPPES record last updated Oct 29, 2021

Key facts

NPI
1649934274
Entity type
Individual (NPI type 1)
Primary specialty
Mental Health Counselor 101YM0800X
Practice address
126 Enterprise Path Ste 208
Hiram, GA 30141-2654
Phone
(770) 573-9546
Fax
(855) 905-4877
NPI assigned
Oct 29, 2021
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Harbor Wellness LLC Current
since Oct 31, 2021
Accepting new patients

Locations

126 Enterprise Path
Ste 208
Hiram, GA 30141
Phone (770) 573-9546

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X Yes

Addresses

Primary practice location

126 Enterprise Path Ste 208
Hiram, GA 30141-2654

Mailing address

4200 Arrowhead Pointe
Austell, GA 30106-1074
Phone (678) 468-3328

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address dana@hopeharborwellness.com Hope Harbor Wellness LLC

Other providers in Hiram, GA

All providers in Hiram, GA · Mental Health Counselor in Georgia

Sources for this page

Verify at the official NPI Registry.