Provider Demographics
NPI:1194115717
Name:CREATING HOPE AND NEEDED CARE FOR EVERYONE, INC
Entity type:Organization
Organization Name:CREATING HOPE AND NEEDED CARE FOR EVERYONE, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:TONI
Authorized Official - Middle Name:
Authorized Official - Last Name:TENNYSON-SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-715-4728
Mailing Address - Street 1:3540 WHEELER RD
Mailing Address - Street 2:SUITE 515
Mailing Address - City:AUGUSTA
Mailing Address - State:GA
Mailing Address - Zip Code:30909-1871
Mailing Address - Country:US
Mailing Address - Phone:770-715-4728
Mailing Address - Fax:
Practice Address - Street 1:3540 WHEELER RD
Practice Address - Street 2:SUITE 515
Practice Address - City:AUGUSTA
Practice Address - State:GA
Practice Address - Zip Code:30909-1871
Practice Address - Country:US
Practice Address - Phone:770-715-4728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-03
Last Update Date:2015-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA13467643251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health