Healthcare Provider Details

I. General information

NPI: 1366029498
Provider Name (Legal Business Name): STRONG HANDS OF HEALING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/25/2021
Last Update Date: 04/05/2023
Certification Date: 04/05/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

95 ROCK CREEK RD
TOCCOA GA
30577-7435
US

IV. Provider business mailing address

811 CAWTHON RD
TOCCOA GA
30577-7284
US

V. Phone/Fax

Practice location:
  • Phone: 706-499-5149
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: PAULA R NICHOLS
Title or Position: OWNER
Credential: LMT
Phone: 706-499-5149