GRACE HARBOUR, INC - NPI 1407072770 - Community/Behavioral Health in Peachtree City, GA

Q: What is Grace Harbour, Inc's NPI number?

The NPI number for Grace Harbour, Inc is 1407072770. It was assigned to this organization in the NPPES registry on April 17, 2007.

Q: What is Grace Harbour, Inc's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

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About Grace Harbour, Inc NPPES

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

GRACE HARBOUR, INC (NPI 1407072770) is a healthcare organization registered as a community/behavioral health in Peachtree City, Georgia and active in the NPI registry since April 2007. The organization maintains 5 additional practice locations and lists Kevin Freeman, Senior Vice President, as its authorized official.

NPPES Registry Identity

NPI1407072770

Entity TypeOrganization

Primary Taxonomy251S00000X

Legal Business NameGRACE HARBOUR, INC

Location Address200 WESTPARK DR STE 325Peachtree City, GA 30269-3574

Mailing Address200 Westpark Dr Ste 325Peachtree City, GA 30269-3574 · (770) 486-1140 · Fax (678) 669-2693

Phone(770) 486-1140

Fax(678) 669-2693

Organization SubpartNo

Authorized OfficialKevin FreemanSenior Vice President · (404) 934-9244

Enumeration DateApril 17, 2007

Last NPPES UpdateSeptember 18, 2024

NPPES CertifiedSeptember 18, 2024

✔ NPI 1407072770 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyCommunity/Behavioral HealthAgencies

Taxonomy Code251S00000X

Definition

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.

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedMarriage & Family TherapistTaxonomy 106H00000X

200 WESTPARK DR STE 325, Peachtree City, GA 30269

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Secondary Practice Locations 5

Location 11201 Main St Ste 1904Columbia, SC 29201-3200 · Phone (770) 486-1140

Location 22411 N Oak St Ste 301EMyrtle Beach, SC 29577-3165 · Phone (770) 486-1140

Location 333 Market Point Dr Ste 2009Greenville, SC 29607-5768 · Phone (770) 486-1140

Location 437 Calumet Pkwy Ste 100Newnan, GA 30263-6734 · Phone (770) 304-0072 · Fax (678) 669-2693

Location 56650 Rivers Ave Ste 136North Charleston, SC 29406-4809 · Phone (770) 486-1140

Other Identifiers 3

Medicaid684485156AGA

Other7680934Aetna

Other600073520Magellan

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

KEISHLA SUAZO-PADILLA

Counselor (Professional)