Healthcare Provider Details

I. General information

NPI: 1922682046
Provider Name (Legal Business Name): ETERNAL STRENGTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2021
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13784 HIGHWAY 9 N
ALPHARETTA GA
30004-3645
US

IV. Provider business mailing address

13784 HIGHWAY 9 N
ALPHARETTA GA
30004-3645
US

V. Phone/Fax

Practice location:
  • Phone: 404-667-8955
  • Fax:
Mailing address:
  • Phone: 404-667-8955
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WESTON JAMES ROBINS
Title or Position: OWNER/ PRESIDENT
Credential: LPC
Phone: 404-667-8955