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Organization

INSPIRE INNOVATE HEAL LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
IMANI HAWLEY LPC, CMAC (CHIEF EXECUTIVE OFFICER)
(404) 960-1186
Entity
Organization

Contact information

Practice address
2203 TULEY DR, DOUGLASVILLE, GA 30135-7902
(404) 960-1186
Mailing address
2959 CHAPEL HILL RD STE D, DOUGLASVILLE, GA 30135-3159
(404) 960-1186

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
251S00000X
Community/Behavioral Health Agency
Primary
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)

Other

Enumeration date
09/03/2025
Last updated
09/03/2025
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