Provider Type Icon

GRACE HARBOUR INC. NPI 1912220245


NPI Information

NPI: 1912220245
Provider Name: GRACE HARBOUR, INC.
Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 11D1084852

Address:
2 LEE ST
SUITE A
NEWNAN, GA
ZIP 30263
Phone: (770) 486-1140
Get Directions

GRACE HARBOUR, INC. is a community behavioral health in Newnan, GA. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. GRACE HARBOUR, INC. NPI is 1912220245. The provider is registered as an organization entity type.

The provider's business location address is:

2 LEE ST
SUITE A
NEWNAN, GA
ZIP 30263-915
Phone: (770) 486-1140
Fax: (678) 669-2693

The provider's authorized official is Amy Long Howard .
The authorized official title is Family Therapist and has the following contact phone number (770) 634-2490.

The CLIA number assigned to this NPI record is 11D1084852 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/1/2010 and was last updated on 3/1/2010.


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
1251S00000XCommunity/Behavioral HealthMFT001104GEORGIAYes

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.