Healthcare Provider Details

I. General information

NPI: 1699509752
Provider Name (Legal Business Name): THE HEALING PROJECT BEHAVIORAL HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2024
Last Update Date: 08/29/2024
Certification Date: 08/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3951 HESTER ST
DULUTH GA
30097-5804
US

IV. Provider business mailing address

5600 SPALDING DR UNIT 921404
PEACHTREE CORNERS GA
30010-4713
US

V. Phone/Fax

Practice location:
  • Phone: 404-590-2848
  • Fax:
Mailing address:
  • Phone: 404-590-2848
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0801X
TaxonomyMental Health Clinic/Center (Including Community Mental Health Center)
License Number
License Number State

VIII. Authorized Official

Name: ROSA NICOLE JONES
Title or Position: OWNER
Credential: LPC
Phone: 404-590-2848