MEDICARE: HEMAN INITIATIVE, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	251S00000X	Community/Behavioral Health Agency
2	261QH0100X	Health Service Clinic/Center
3	251K00000X	Public Health or Welfare Agency

General Provider Information

NPI Number	:	1831052711
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEMAN INITIATIVE, INC.

Provider Business Mailing Address
First Line	:	8735 DUNWOODY PL # 11101
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30350-2995
Country	:	US
Telephone Number	:	770-610-1346
Fax Number	:

Provider Business Practice Location Address
First Line	:	8735 DUNWOODY PL # 11101
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30350-2995
Country	:	US
Telephone Number	:	770-610-1346
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	TRACY GOLDEN-CRAWFORD
Credential	:
Telephone Number	:	770-610-1346

Provider Enumeration Date	:	12/08/2025
Last Update Date	:	12/08/2025

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