Healing Space, Llc | |
1492 Prince Ave Athens GA 30606-2210 | |
(706) 614-7341 | |
Not Available |
Full Name | Healing Space, Llc |
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Speciality | Counselor - Professional |
Location | 1492 Prince Ave, Athens, Georgia |
Authorized Official Name and Position | Aline Robolin (SOLE MEMBER) |
Authorized Official Contact | 7066147341 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Healing Space, Llc Po Box 5732 Athens GA 30604-5732 Ph: () - | Healing Space, Llc 1492 Prince Ave Athens GA 30606-2210 Ph: (706) 614-7341 |
NPI Number | 1710153879 |
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Provider Enumeration Date | 05/07/2008 |
Last Update Date | 05/07/2008 |
Identifier | Type | State | Issuer |
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1710153879 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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101YP2500X | Counselor - Professional | LPC 002575 (Georgia) | Primary |
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