Hope Harbor Wellness LLC
Organization Active NPI Substance Use Disorder Rehabilitation Clinic/Center · Hiram, GA
NPI 1992321301 · NPPES record last updated Jul 3, 2026
Key facts
- NPI
- 1992321301
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/Center 261QR0405X
- Legal business name
- HOPE HARBOR WELLNESS LLC
- Practice address
- 126 Enterprise Path Ste 208
Hiram, GA 30141-2654 - Phone
- (770) 782-0184
- NPI assigned
- Jun 22, 2020
- Organization subpart
- No
Authorized official
- Name
- Kaitlin Harden
- Title
- Ceo
- Phone
- (770) 309-9417
Practitioners 1
Laboratory certificates & supplier records
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 11D2184658 | Hope Harbor Wellness LLC | Certificate of waiver | May 21, 2028 |
National Provider Directory
Locations
126 Enterprise Path
Ste 208
Hiram, GA 30141
Phone (770) 573-9546
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | |||
| Adult Mental Health Clinic/Center | 261QM0850X | |||
| Multi-Specialty Clinic/Center | 261QM1300X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X | Yes | ||
| Substance Abuse Rehabilitation Facility | 324500000X |
Addresses
Primary practice location
126 Enterprise Path Ste 208
Hiram, GA 30141-2654
Mailing address
51 Sagemont CT
Acworth, GA 30101-2620
Other providers in Hiram, GA
- Hiram Dental Group, PC
- Hiram Dental Smiles
- Hiram Imaging, LLC
- Hiram Vision Center, Inc.
- Hooked on Hope LLC
- Hope Lives Here
- Hope Palliative Care
- Diem Hope
- Kevin Hord
- Joy Horton
All providers in Hiram, GA · Substance Use Disorder Rehabilitation Clinic/Center in Georgia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 3, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.