Healing Outreach Purpose Empowerment | |
6349 Wedgeview Dr Tucker GA 30084-8768 | |
(404) 884-8176 | |
Not Available |
Full Name | Healing Outreach Purpose Empowerment |
---|---|
Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
Location | 6349 Wedgeview Dr, Tucker, Georgia |
Authorized Official Name and Position | Jared Washington (THERAPIST) |
Authorized Official Contact | 9083447874 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Healing Outreach Purpose Empowerment 645 Paris Dr Lawrenceville GA 30043-6138 Ph: (908) 344-7874 | Healing Outreach Purpose Empowerment 6349 Wedgeview Dr Tucker GA 30084-8768 Ph: (404) 884-8176 |
NPI Number | 1417626565 |
---|---|
Provider Enumeration Date | 09/12/2021 |
Last Update Date | 09/12/2021 |
Certification Date | 09/12/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417626565 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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