INNER SELF CORP NPI 1265902381

NPI Information

  • NPI: 1265902381
  • Provider Name: INNER SELF CORP
  • Classification: Prevention Professional - 405300000X
  • Entity Type: Organization
  • Address: 502 EASTWOOD VILLAGE DR
    STOCKBRIDGE, GA
    ZIP 30281
  • Phone: (404) 720-8185

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NPI Details

INNER SELF CORP is a prevention professional in Stockbridge, GA. The provider is prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work. INNER SELF CORP NPI is 1265902381. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

502 EASTWOOD VILLAGE DR
STOCKBRIDGE, GA
ZIP 30281-759
Phone: (404) 720-8185
Fax: (800) 730-9238

The provider's authorized official is Tawanda Braswell .
The authorized official title is Executive Director and has the following contact phone number (404) 720-8185.

The enumeration date for this NPI number is 12/1/2018 and was last updated on 12/1/2018.

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
1171M00000XCase Manager/Care CoordinatorNo
2405300000XPrevention ProfessionalYes

What is NPI?

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This page was last updated on: 3/30/2025

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