Healthcare Provider Details

I. General information

NPI: 1932057783
Provider Name (Legal Business Name): HIGHER HOPE WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/18/2026
Last Update Date: 03/18/2026
Certification Date: 03/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

126 LAKE DOUGLAS RD
WHIGHAM GA
39897-3865
US

IV. Provider business mailing address

126 LAKE DOUGLAS RD
WHIGHAM GA
39897-3865
US

V. Phone/Fax

Practice location:
  • Phone: 229-216-1974
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State

VIII. Authorized Official

Name: CRYSTAL HOLT
Title or Position: OWNER/CLINICAL DIRECTOR
Credential: PHD
Phone: 229-216-1974