| Idaluz Llc | |
|
1869 S Carisbrook Pl Austell GA 30168-5147 | |
| (401) 588-0121 | |
| Not Available |
| Full Name | Idaluz Llc |
|---|---|
| Speciality | Counselor |
| Location | 1869 S Carisbrook Pl, Austell, Georgia |
| Authorized Official Name and Position | Iolanda L Da Luz (MENTAL HEALTH PROFESSIONAL) |
| Authorized Official Contact | 4015880121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Idaluz Llc 1869 S Carisbrook Pl Austell GA 30168-5147 Ph: (401) 588-0121 | Idaluz Llc 1869 S Carisbrook Pl Austell GA 30168-5147 Ph: (401) 588-0121 |
| NPI Number | 1457199614 |
|---|---|
| Provider Enumeration Date | 07/19/2024 |
| Last Update Date | 07/19/2024 |
| Certification Date | 07/19/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457199614 | NPI | - | NPPES |
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