ADDICTION HEALING CENTER LLC NPI 1164772984

NPI Information

  • NPI: 1164772984
  • Provider Name: ADDICTION HEALING CENTER, LLC
  • Classification: Clinic/Center - 261QR0405X
  • Specialization: Rehabilitation, Substance Use Disorder
  • Entity Type: Organization
  • Address: 1846 OLD NORCROSS RD
    SUITE 100
    LAWRENCEVILLE, GA
    ZIP 30044
  • Phone: (770) 696-9862

Map and Directions

Get Directions

NPI Details

ADDICTION HEALING CENTER, LLC is a rehabilitation and substance use disorder clinic center in Lawrenceville, GA. ADDICTION HEALING CENTER, LLC NPI is 1164772984. The provider is registered as an organization entity type.

The provider's business location address is:

1846 OLD NORCROSS RD
SUITE 100
LAWRENCEVILLE, GA
ZIP 30044-801
Phone: (770) 696-9862
Fax: (770) 710-0243

The provider's authorized official is Susan Kaye Blank .
The authorized official title is Cmo and has the following contact phone number (770) 696-9862.

The enumeration date for this NPI number is 9/19/2012 and was last updated on 9/19/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QR0405XClinic/CenterRehabilitation, Substance Use DisorderGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.