| Healing And Renewal Wellness | |
|
464 Cherokee Ave Se Ste 202 Atlanta GA 30312-3260 | |
| (678) 379-7019 | |
| Not Available |
| Full Name | Healing And Renewal Wellness |
|---|---|
| Speciality | Clinic/center - Adolescent And Children Mental Health |
| Location | 464 Cherokee Ave Se Ste 202, Atlanta, Georgia |
| Authorized Official Name and Position | Katelynn Villari (CLINICAL DIRECTOR) |
| Authorized Official Contact | 6784718090 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing And Renewal Wellness 138 Tye St Se Apt 1 Atlanta GA 30316-1155 Ph: (678) 471-8090 | Healing And Renewal Wellness 464 Cherokee Ave Se Ste 202 Atlanta GA 30312-3260 Ph: (678) 379-7019 |
| NPI Number | 1215561139 |
|---|---|
| Provider Enumeration Date | 02/29/2020 |
| Last Update Date | 02/29/2020 |
| Certification Date | 02/29/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215561139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0855X | Clinic/center - Adolescent And Children Mental Health | (* (Not Available)) | Primary |
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