GRACE HARBOUR INC NPI 1407072770

NPI Information

  • NPI: 1407072770
  • Provider Name: GRACE HARBOUR, INC
  • Classification: Community/Behavioral Health - 251S00000X
  • Entity Type: Organization
  • Address: 200 WESTPARK DR STE 325
    PEACHTREE CITY, GA
    ZIP 30269
  • Phone: (770) 486-1140

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NPI Details

GRACE HARBOUR, INC is a community behavioral health in Peachtree City, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. 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:

200 WESTPARK DR STE 325
PEACHTREE CITY, GA
ZIP 30269-574
Phone: (770) 486-1140
Fax: (678) 669-2693

The provider's authorized official is Kevin Freeman .
The authorized official title is Senior Vice President and has the following contact phone number (404) 934-9244.

The enumeration date for this NPI number is 4/17/2007 and was last updated on 9/18/2024.

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
1101YP2500XCounselorProfessionalNo
2106H00000XMarriage & Family TherapistNo
3251S00000XCommunity/Behavioral HealthYes

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
1684485156AMEDICAIDGEORGIA
27680934OTHERAETNA
3600073520OTHERMAGELLAN

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

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