OrganizationActive
Healing Space, LLC
NPI 1710423660 · Professional Counselor · Duluth, GA
Provider details
- NPI number
- 1710423660
- Entity type
- Organization
- Primary specialty
- Professional CounselorBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Lydia Johnson, Owner/Principal(404) 538-3387
- License
- LPC007987 (GA)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
3883 Rogers Bridge Rd
Ste. 203a
Duluth, GA 30097-2802
Phone: (404) 538-3387
Street-level locationGet directions
Mailing address
1938 Johnson Ferry Rd Ne
Brookhaven, GA 30319-5011
Registry dates
- Enumerated
- 2017-01-17
- Last updated
- 2017-01-17
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.