OrganizationActive
Addiction Healing Center, LLC
NPI 1164772984 · Substance Use Disorder Rehabilitation Clinic/Center · Lawrenceville, GA
Provider details
- NPI number
- 1164772984
- Entity type
- Organization
- Primary specialty
- Substance Use Disorder Rehabilitation Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Susan Blank, Cmo(770) 696-9862
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(79/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
13 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
1846 Old Norcross Rd
Suite 100
Lawrenceville, GA 30044-8801
Phone: (770) 696-9862
Fax: (770) 710-0243
Street-level locationGet directions
Mailing address
1846 Old Norcross Rd
Lawrenceville, GA 30044-8801
Registry dates
- Enumerated
- 2012-09-19
- Last updated
- 2012-09-19
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.