OrganizationActive
Healing Our Village of Maryland, Inc.
NPI 1699188367 · Multi-Specialty Clinic/Center · Jonesboro, GA
Provider details
- NPI number
- 1699188367
- Entity type
- Organization
- Primary specialty
- Multi-Specialty Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Lenore Coleman, President(703) 795-1983
Specialties & taxonomies
Ambulatory Health Care Facilities
- Health Service Psychologist103TH0100X
Behavioral Health & Social Service Providers
- Home Health Agency251E00000X
Agencies
- Community/Behavioral Health Agency251S00000X
Agencies
- Podiatric Clinic/Center261QP1100X
Ambulatory Health Care Facilities
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
12 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
177 N Main St
Jonesboro, GA 30236-3567
Phone: (800) 788-0941
Street-level locationGet directions
Mailing address
405 Benjamin Cir
Fayetteville, GA 30214-3346
Registry dates
- Enumerated
- 2014-06-10
- Last updated
- 2025-06-09
- Certified
- 2025-06-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.