MEDICARE: PLATFORM OF HOPE SERVICES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor

General Provider Information

NPI Number	:	1104785039
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PLATFORM OF HOPE SERVICES

Provider Business Mailing Address
First Line	:	4190 PEACE ROSE PL
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-5112
Country	:	US
Telephone Number	:	678-640-3196
Fax Number	:	678-640-3196

Provider Business Practice Location Address
First Line	:	4190 PEACE ROSE PL
Second Line	:
City	:	LOGANVILLE
State	:	GA
Zip	:	30052-5112
Country	:	US
Telephone Number	:	678-640-3196
Fax Number	:	470-550-1293

Authorized Official
Title or Position	:	OWNER/MANAGER
Name	:	ERICA GERALDS
Credential	:	LPC
Telephone Number	:	678-640-3196

Provider Enumeration Date	:	01/16/2026
Last Update Date	:	01/16/2026

Similar Medicare Providers

1861926149 — ERICA GERALDS MDIV, LPC, NCC
Practice Location Address:

4190 PEACE ROSE PL
LOGANVILLE, GA
30052-5112

Practice Phone: 678-640-3196
Practice Fax:

1780271718 — BEGIN AGAIN COUNSELING COACHING & CONSULTANT SERVICES LLC
Practice Location Address:

4190 PEACE ROSE PL
LOGANVILLE, GA
30052-5112

Practice Phone: 678-640-3196
Practice Fax:

1295314045 — OHANA NURSING SERVICES INC
Practice Location Address:

3977 ATLANTA HWY STE 105
LOGANVILLE, GA
30052-3760

Practice Phone: 470-275-4195
Practice Fax:

1851929061 — DONICA MARIE TROXLER RN
Practice Location Address:

3977 ATLANTA HWY STE 105
LOGANVILLE, GA
30052-3760

Practice Phone: 678-383-5019
Practice Fax:

1336850445 — MS. TERESA TONTA MICHELLE SNOW
Practice Location Address:

605 ATHENS HWY UNIT 5-201
LOGANVILLE, GA
30052-4767

Practice Phone: 404-740-4910
Practice Fax:

1003775990 — TRINITY INNOVATIVE SUPPORT
Practice Location Address:

605 ATHENS HWY UNIT 5-201
LOGANVILLE, GA
30052-4767

Practice Phone: 404-740-4910
Practice Fax:

Directions to “PLATFORM OF HOPE SERVICES ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.