Provider Demographics
NPI:1609998566
Name:GSH, INC.
Entity Type:Organization
Organization Name:GSH, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GAIL
Authorized Official - Middle Name:S
Authorized Official - Last Name:HAMMOND
Authorized Official - Suffix:
Authorized Official - Credentials:LPC, LCSW
Authorized Official - Phone:770-736-7080
Mailing Address - Street 1:295 S CULVER ST STE A
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30046-3239
Mailing Address - Country:US
Mailing Address - Phone:470-304-6536
Mailing Address - Fax:
Practice Address - Street 1:175 LANGLEY DR
Practice Address - Street 2:SUITE B-1
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30046-6952
Practice Address - Country:US
Practice Address - Phone:770-217-7903
Practice Address - Fax:770-995-0171
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-04
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GALPC002011101YP2500X
GACSW0032471041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty