NPIMap

Organization Active NPI

Grace Harbour, Inc.

  • Community/Behavioral Health Agency
  • Newnan, GA
National Provider Identifier
1912220245
Registry record updated Mar 1, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
License
MFT001104 Issued in GA
Legal business name
GRACE HARBOUR, INC.
Practice address
2 Lee St
Suite a
Newnan, GA 30263-1915
Phone
(770) 486-1140
Fax
(678) 669-2693
NPI assigned
Mar 1, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2010

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

Authorized official

Name
Mrs. Amy Long Howard, LMFT
Title
Family Therapist
Phone
(770) 634-2490

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X MFT001104 GA Primary

Addresses

Primary practice location

2 Lee St
Suite a
Newnan, GA 30263-1915

Mailing address

2 Lee St
Suite a
Newnan, GA 30263-1915
Phone (770) 486-1140

National Provider Directory

National Provider Directory
Tax ID family
Grace Harbour Inc3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Practitioners & affiliated clinicians

Practitioners 2

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": "1267401600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1267401600000",
    "number": "1912220245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 LEE ST",
            "address_2": "SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631915",
            "telephone_number": "770-486-1140",
            "fax_number": "678-669-2693"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 LEE ST",
            "address_2": "SUITE A",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302631915",
            "telephone_number": "770-486-1140",
            "fax_number": "678-669-2693"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GRACE HARBOUR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-01",
        "last_updated": "2010-03-01",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "LONG",
        "authorized_official_title_or_position": "FAMILY THERAPIST",
        "authorized_official_telephone_number": "770-634-2490",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LMFT"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": "GA",
            "license": "MFT001104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2010; 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.