Grace Harbour, Inc
LBN: Grace Harbour, Inc
Grace Harbour, Inc is an health care organization with primary practice located at 23 Eastbrook Bnd Suite 200, Peachtree City GA 30269-1565. The organization recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Professional is the primary health care specialty.
Grace Harbour, Inc can be contacted via phone (770) 486-1140, or through Freeman, Kevin via phone (770) 716-1444.
Contact Information
Primary practice address
23 Eastbrook Bnd Suite 200
Peachtree City GA 30269-1565
Phone: (770) 486-1140
Fax: (678) 669-2693
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Professional | 101YP2500X | ||
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X |
Profile Details
| NPI number | 1407072770 |
|---|---|
| LBN Legal business name | Grace Harbour, Inc |
| DBA Doing business as | |
| Authorized official | Freeman, Kevin |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 17th, 2007 |
| Last updated | Aug 21st, 2009 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1407072770 | NPPES |
| Other | 7680934 | AETNA | |
| Other | 600073520 | AETNA | |
| MEDICAID | 684485156A | AETNA |
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