Healthcare Provider Details

I. General information

NPI: 1346168986
Provider Name (Legal Business Name): HIGHER GROUNDS 4 HER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2026
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3899 HERITAGE OAKS DR SW
POWDER SPRINGS GA
30127-9204
US

IV. Provider business mailing address

3899 HERITAGE OAKS DR SW
POWDER SPRINGS GA
30127-9204
US

V. Phone/Fax

Practice location:
  • Phone: 770-799-8690
  • Fax:
Mailing address:
  • Phone: 770-799-8690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: LESA LEWIS
Title or Position: OWNER
Credential: LCSW
Phone: 770-799-8690