Inner Self Corp

Prevention Professional · Stockbridge, GA

Organization Active NPI

NPI number 1265902381

Practice location

502 Eastwood Village Dr
Stockbridge, GA 30281-7759
Phone
(404) 720-8185
Fax
(800) 730-9238

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NPI record

NPI
1265902381
Entity type
Organization (Type 2)
Enumeration date
December 1, 2018
Last updated
December 1, 2018
Organization subpart
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Prevention Professional Primary 405300000X — —
Case Manager/Care Coordinator 171M00000X — —

Mailing address

PO Box 633
Stockbridge, GA 30281-0633
Phone
(404) 720-8185
Fax
(800) 730-9238

Authorized official

Name
Tawanda Braswell
Title
Executive Director
Phone
(404) 720-8185

About Inner Self Corp

Inner Self Corp is a healthcare organization registered in the NPI registry with the primary taxonomy Prevention Professional (code 405300000X). The practice location is 502 Eastwood Village Dr, Stockbridge, GA 30281-7759. The NPI number 1265902381 was assigned on December 1, 2018 and the record was last updated on December 1, 2018.

The authorized official for this organization is Tawanda Braswell, Executive Director.

Frequently asked questions

What is the NPI number of Inner Self Corp?

The NPI number is 1265902381.

What is the phone number of Inner Self Corp?

The phone number listed for the practice location is (404) 720-8185.

Where is Inner Self Corp located?

502 Eastwood Village Dr, Stockbridge, GA 30281-7759.

What is the taxonomy code for Inner Self Corp?

The primary taxonomy code is 405300000X – Prevention Professional; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.