Provider Type Icon

REBUILDING HOPE NPI 1043835747


NPI Information

NPI: 1043835747
Provider Name: REBUILDING HOPE
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization
Address:
2392 HARPERS WAY
DULUTH, GA
ZIP 30097
Phone: (601) 527-3533
Get Directions

REBUILDING HOPE is a marriage family therapist in Duluth, GA. The provider is a marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups. REBUILDING HOPE NPI is 1043835747. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

2392 HARPERS WAY
DULUTH, GA
ZIP 30097-176
Phone: (601) 527-3533
Fax: (678) 903-4190

The provider's authorized official is Theresa Mosley .
The authorized official title is Owner and has the following contact phone number (601) 527-3533.

The enumeration date for this NPI number is 6/9/2020 and was last updated on 6/9/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
12084P0800XPsychiatry & NeurologyPsychiatryNo
2106H00000XMarriage & Family TherapistYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
100330775AMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.