Organization Active NPI

Healing Our Village of Maryland, Inc.

  • Multi-Specialty Clinic/Center
  • Jonesboro, GA
National Provider Identifier
1699188367
Registry record updated Jun 9, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
HEALING OUR VILLAGE OF MARYLAND, INC.
Practice address
177 N Main St
Jonesboro, GA 30236-3567
Phone
(800) 788-0941
NPI assigned
Jun 10, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2025

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

Authorized official

Name
Dr. Lenore Coleman, PHARMD
Title
President
Phone
(703) 795-1983

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service PsychologistGroup: 193200000X MULTI-SPECIALTY GROUP 103TH0100X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X
Multi-Specialty Clinic/Center 261QM1300X Primary
Podiatric Clinic/Center 261QP1100X

Addresses

Primary practice location

177 N Main St
Jonesboro, GA 30236-3567

Mailing address

405 Benjamin Cir
Fayetteville, GA 30214-3346

National Provider Directory

National Provider Directory

Locations

4751 Best Rd
Ste 400
Atlanta, GA 30337
Phone (404) 766-2272

177 N Main St
Jonesboro, GA 30236
Phone (678) 855-6535

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": "1402358400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749427200000",
    "number": "1699188367",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "405 BENJAMIN CIR",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302143346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "177 N MAIN ST",
            "city": "JONESBORO",
            "state": "GA",
            "postal_code": "302363567",
            "telephone_number": "800-788-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALING OUR VILLAGE OF MARYLAND, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-10",
        "last_updated": "2025-06-09",
        "certification_date": "2025-06-09",
        "status": "A",
        "authorized_official_last_name": "COLEMAN",
        "authorized_official_first_name": "LENORE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "703-795-1983",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PHARMD"
    },
    "taxonomies": [
        {
            "code": "103TH0100X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychologist, Health Service",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QP1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Podiatric",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2025; 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.