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INNER SELF CORP
NPI 1265902381
Prevention Professional in Stockbridge, GA

Active since December 01, 2018
502 EASTWOOD VILLAGE DR, STOCKBRIDGE, GA 30281(404) 720-8185(800) 730-9238 Get Directions Write a Review

NPPES record last updated: December 1, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Inner Self Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

INNER SELF CORP (NPI 1265902381) is a healthcare organization registered as a prevention professional in Stockbridge, Georgia and active in the NPI registry since December 2018. The organization lists Tawanda Braswell, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1265902381
Entity TypeOrganization
Primary Taxonomy405300000X
Legal Business NameINNER SELF CORP
Location Address502 EASTWOOD VILLAGE DRStockbridge, GA 30281-7759
Mailing AddressPo Box 633Stockbridge, GA 30281-0633 · (404) 720-8185 · Fax (800) 730-9238
Phone(404) 720-8185
Fax(800) 730-9238
Organization SubpartNo
Authorized OfficialTawanda BraswellExecutive Director · (404) 720-8185
Enumeration DateDecember 1, 2018
✔ NPI 1265902381 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPrevention ProfessionalOther Service Providers
Taxonomy Code405300000X
Definition
Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.
Also ListedCase Manager/Care CoordinatorTaxonomy 171M00000X
502 EASTWOOD VILLAGE DR, Stockbridge, GA 30281
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X MULTIPLE SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Inner Self Corp's NPI number?

The NPI number for Inner Self Corp is 1265902381. It was assigned to this organization in the NPPES registry on December 1, 2018.

Where is Inner Self Corp located?

Inner Self Corp is located at 502 Eastwood Village Dr, Stockbridge, GA 30281. The listed phone number is (404) 720-8185.

What is Inner Self Corp's specialty?

The primary specialty registered for this NPI is Prevention Professional with taxonomy code 405300000X.

When was this NPI record last updated?

The NPPES record for Inner Self Corp was last updated on December 1, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.