| Heart & Soul Wellness Solutions Llc | |
|
4752 Pepper Tree Lane Douglasville GA 30135 | |
| (404) 232-0797 | |
| Not Available |
| Full Name | Heart & Soul Wellness Solutions Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 4752 Pepper Tree Lane, Douglasville, Georgia |
| Authorized Official Name and Position | Latanya Farrar (OWNER) |
| Authorized Official Contact | 4042320979 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Heart & Soul Wellness Solutions Llc 8486 Campbellton St Unit 172 Douglasville GA 30133-0047 Ph: (404) 232-0797 | Heart & Soul Wellness Solutions Llc 4752 Pepper Tree Lane Douglasville GA 30135 Ph: (404) 232-0797 |
| NPI Number | 1265043301 |
|---|---|
| Provider Enumeration Date | 08/12/2020 |
| Last Update Date | 08/12/2020 |
| Certification Date | 08/12/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265043301 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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