Healthcare Provider Details

I. General information

NPI: 1750623658
Provider Name (Legal Business Name): THE GEORGE CENTER FOUNDATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/19/2013
Last Update Date: 09/01/2020
Certification Date: 09/01/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1206 ETRIS RD. SUITE 200
ROSWELL GA
30075
US

IV. Provider business mailing address

205 ROSWELL GREEN LANE
ROSWELL GA
30075
US

V. Phone/Fax

Practice location:
  • Phone: 770-998-9599
  • Fax: 678-461-8530
Mailing address:
  • Phone: 678-464-0913
  • Fax: 678-461-8530

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number08393
License Number StateGA

VIII. Authorized Official

Name: HANNAH C RHINEHART
Title or Position: EXECUTIVE DIRECTOR
Credential: LPMT, MT-BC
Phone: 678-464-0913