Provider Demographics
NPI:1043010424
Name:HCF PREVENTATIVE SERVICES, INC.
Entity type:Organization
Organization Name:HCF PREVENTATIVE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COGNITIVE BEHAVIORAL COACH
Authorized Official - Prefix:
Authorized Official - First Name:HONIDU
Authorized Official - Middle Name:
Authorized Official - Last Name:MARICO
Authorized Official - Suffix:
Authorized Official - Credentials:CHW
Authorized Official - Phone:470-336-2149
Mailing Address - Street 1:957 MAIN ST STE A-108
Mailing Address - Street 2:
Mailing Address - City:STONE MOUNTAIN
Mailing Address - State:GA
Mailing Address - Zip Code:30083-3060
Mailing Address - Country:US
Mailing Address - Phone:470-336-2149
Mailing Address - Fax:
Practice Address - Street 1:957 MAIN ST
Practice Address - Street 2:
Practice Address - City:STONE MOUNTAIN
Practice Address - State:GA
Practice Address - Zip Code:30083-3060
Practice Address - Country:US
Practice Address - Phone:470-336-2149
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-15
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes172V00000XOther Service ProvidersCommunity Health WorkerGroup - Single Specialty
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health