Healthcare Provider Details

I. General information

NPI: 1588230825
Provider Name (Legal Business Name): MAPHABIT INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/27/2021
Last Update Date: 02/19/2025
Certification Date: 02/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

75 5TH ST NW STE 2120
ATLANTA GA
30308-1034
US

IV. Provider business mailing address

75 5TH ST NW STE 2120
ATLANTA GA
30308-1034
US

V. Phone/Fax

Practice location:
  • Phone: 404-666-9341
  • Fax:
Mailing address:
  • Phone: 404-666-9341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225CA2500X
TaxonomyAssistive Technology Supplier Rehabilitation Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State

VIII. Authorized Official

Name: MR. MATTHEW GOLDEN
Title or Position: CEO
Credential:
Phone: 914-330-1776