| Healing Space, Llc | |
|
3883 Rogers Bridge Rd Ste. 203a Duluth GA 30097-2802 | |
| (404) 538-3387 | |
| Not Available |
| Full Name | Healing Space, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 3883 Rogers Bridge Rd, Duluth, Georgia |
| Authorized Official Name and Position | Lydia Johnson (OWNER/PRINCIPAL) |
| Authorized Official Contact | 4045383387 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Healing Space, Llc 1938 Johnson Ferry Rd Ne Unit G Brookhaven GA 30319-5011 Ph: () - | Healing Space, Llc 3883 Rogers Bridge Rd Ste. 203a Duluth GA 30097-2802 Ph: (404) 538-3387 |
| NPI Number | 1710423660 |
|---|---|
| Provider Enumeration Date | 01/17/2017 |
| Last Update Date | 01/17/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710423660 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC007987 (Georgia) | Primary |
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