| Champion Wellness Service, Inc. | |
|
8735 Dunwoody Pl # 5313 Atlanta GA 30350-2995 | |
| (706) 489-4719 | |
| Not Available |
| Full Name | Champion Wellness Service, Inc. |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 8735 Dunwoody Pl # 5313, Atlanta, Georgia |
| Authorized Official Name and Position | Shnarika Simone Powell (PMHNP) |
| Authorized Official Contact | 7064894719 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Champion Wellness Service, Inc. 8735 Dunwoody Pl # 5313 Atlanta GA 30350-2995 Ph: (064) 894-7197 | Champion Wellness Service, Inc. 8735 Dunwoody Pl # 5313 Atlanta GA 30350-2995 Ph: (706) 489-4719 |
| NPI Number | 1679266126 |
|---|---|
| Provider Enumeration Date | 05/31/2023 |
| Last Update Date | 06/24/2024 |
| Certification Date | 06/24/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679266126 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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