Healthcare Provider Details

I. General information

NPI: 1831052711
Provider Name (Legal Business Name): HEMAN INITIATIVE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8735 DUNWOODY PL # 11101
ATLANTA GA
30350-2995
US

IV. Provider business mailing address

8735 DUNWOODY PL # 11101
ATLANTA GA
30350-2995
US

V. Phone/Fax

Practice location:
  • Phone: 770-610-1346
  • Fax:
Mailing address:
  • Phone: 770-610-1346
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: TRACY GOLDEN-CRAWFORD
Title or Position: PRESIDENT
Credential:
Phone: 770-610-1346