Healthcare Provider Details

I. General information

NPI: 1467797795
Provider Name (Legal Business Name): HEALING PASTURES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2012
Last Update Date: 05/14/2026
Certification Date: 05/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

480 FLINT HILL RD
ARAGON GA
30104
US

IV. Provider business mailing address

480 FLINT HILL RD
ARAGON GA
30104
US

V. Phone/Fax

Practice location:
  • Phone: 706-331-0207
  • Fax:
Mailing address:
  • Phone: 706-331-0207
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW003992
License Number StateGA

VIII. Authorized Official

Name: BROOKE ASHLEY GREENWAY
Title or Position: OWNER/PROVIDER
Credential: LCSW, RPT
Phone: 706-331-0207