Organization
N'SPIRED BY ACHIEVEMENT FAMILY SERVICES & SOLUTIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GRANVILLE THEODORE FREEMAN III LPC, NCC, CPCS, DCC (CEO)
(404) 538-1791
Entity
Organization
Contact information
Practice address
995 ROSWELL ST NE STE 100, MARIETTA, GA 30060-2186
(404) 913-0557
(404) 393-7401
Mailing address
5000 BRITTANY DR, STONE MOUNTAIN, GA 30083-6030
(404) 538-1791
(404) 393-7401
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003155881A
—
GA
Enumeration date
04/23/2018
Last updated
04/23/2018
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