GRACE HARBOUR INC NPI 1407072770

NPI Information

NPI: 1407072770
Provider Name: GRACE HARBOUR, INC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
23 EASTBROOK BND
SUITE 200
PEACHTREE CITY, GA
ZIP 30269
Phone: (770) 486-1140
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GRACE HARBOUR, INC is a professional counselor in Peachtree City, GA. GRACE HARBOUR, INC NPI is 1407072770. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

23 EASTBROOK BND
SUITE 200
PEACHTREE CITY, GA
ZIP 30269-565
Phone: (770) 486-1140
Fax: (678) 669-2693

The provider's authorized official is Kevin Freeman .
The authorized official title is President and has the following contact phone number (770) 716-1444.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 8/21/2009.

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
1	106H00000X	Marriage & Family Therapist				No
2	101YP2500X	Counselor	Professional			Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	600073520	OTHER		MAGELLAN
2	7680934	OTHER		AETNA
3	684485156A	MEDICAID	GEORGIA

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: 4/28/2024

NPI Synchronization or Removal

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