| Headspace Mental Wellness Club Llc | |
|
527 Cottonwood Cv Hahira GA 31632-1591 | |
| (229) 375-1673 | |
| Not Available |
| Full Name | Headspace Mental Wellness Club Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 527 Cottonwood Cv, Hahira, Georgia |
| Authorized Official Name and Position | Sunari Cody (OWNER) |
| Authorized Official Contact | 2293751673 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Headspace Mental Wellness Club Llc 527 Cottonwood Cv Hahira GA 31632-1591 Ph: (229) 375-1673 | Headspace Mental Wellness Club Llc 527 Cottonwood Cv Hahira GA 31632-1591 Ph: (229) 375-1673 |
| NPI Number | 1578375903 |
|---|---|
| Provider Enumeration Date | 01/22/2025 |
| Last Update Date | 01/22/2025 |
| Certification Date | 01/22/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578375903 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Amy H. Wells, Lcsw Pc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5050 Coppage Rd, Hahira, GA 31632 Phone: 229-630-1941 | |
Ste Counseling Services, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 5671 Boys Ranch Rd, Hahira, GA 31632 Phone: 229-560-2692 Fax: 229-794-0079 |