Healthcare Provider Details

I. General information

NPI: 1467672337
Provider Name (Legal Business Name): GOD'S PROMISE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

211 BELLA VISTA TER
MCDONOUGH GA
30253-8663
US

IV. Provider business mailing address

5021 REDAN RD
STONE MOUNTAIN GA
30088-2708
US

V. Phone/Fax

Practice location:
  • Phone: 678-851-8822
  • Fax:
Mailing address:
  • Phone: 678-851-8822
  • Fax: 404-756-1490

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number044-607-D
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code324500000X
TaxonomySubstance Abuse Rehabilitation Facility
License Number044-607-D
License Number StateGA

VIII. Authorized Official

Name: MS. STACEY CATRICE WATSON-GAITHER
Title or Position: EXECUTIVE DIRECTOR
Credential:
Phone: 678-851-8822