| Contemporary Healing Spaces., Inc | |
|
691 John Wesley Dobbs Ave Ne Ste V146 Atlanta GA 30312-1690 | |
| (347) 639-8380 | |
| Not Available |
| Full Name | Contemporary Healing Spaces., Inc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 691 John Wesley Dobbs Ave Ne Ste V146, Atlanta, Georgia |
| Authorized Official Name and Position | Dominique Simone Marcus (OWNER) |
| Authorized Official Contact | 9124307880 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Contemporary Healing Spaces., Inc 1065 Ricade Dr Hinesville GA 31313-5124 Ph: (347) 639-8380 | Contemporary Healing Spaces., Inc 691 John Wesley Dobbs Ave Ne Ste V146 Atlanta GA 30312-1690 Ph: (347) 639-8380 |
| NPI Number | 1124784731 |
|---|---|
| Provider Enumeration Date | 11/09/2021 |
| Last Update Date | 12/09/2023 |
| Certification Date | 12/09/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124784731 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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