OrganizationActive
Proactive Total Healing Services
NPI 1407668122 · Early Intervention Provider Agency · Powder Springs, GA
Provider details
- NPI number
- 1407668122
- Entity type
- Organization
- Primary specialty
- Early Intervention Provider AgencyAgencies
- Organization subpart
- No
- Authorized official
- Nicholle Brock, Owner(770) 842-5775
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
- Nursing Care Agency251J00000X
Agencies
- Public Health or Welfare Agency251K00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- In Home Supportive Care Agency253Z00000X
Agencies
Practice location
5833 Hill Rd
Powder Springs, GA 30127-4042
Phone: (770) 842-5775
Approximate (ZIP-level) locationGet directions
Mailing address
5833 Hill Rd
Powder Springs, GA 30127-4042
Registry dates
- Enumerated
- 2025-01-21
- Last updated
- 2025-01-21
- Certified
- 2025-01-21
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.