| Heart & Soul Wellness | |
|
5 Latimer St Hazlehurst GA 31539-6111 | |
| (912) 500-9207 | |
| (432) 200-9558 |
| Full Name | Heart & Soul Wellness |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 5 Latimer St, Hazlehurst, Georgia |
| Authorized Official Name and Position | Dondi Nichole Little (OFFICE COORDINATOR) |
| Authorized Official Contact | 9125009207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Soul Wellness 5 Latimer St Hazlehurst GA 31539-6111 Ph: (912) 500-9207 | Heart & Soul Wellness 5 Latimer St Hazlehurst GA 31539-6111 Ph: (912) 500-9207 |
| NPI Number | 1083362149 |
|---|---|
| Provider Enumeration Date | 03/16/2022 |
| Last Update Date | 07/12/2023 |
| Certification Date | 07/12/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083362149 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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Heart & Soul Wellness Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 5 Latimer St, Hazlehurst, GA 31539 Phone: 912-500-9207 Fax: 432-200-9558 | |
New Beginnings Therapy Services Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 17 Latimer St, Hazlehurst, GA 31539 Phone: 912-278-9909 | |
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