| I.m. Wellness Center, Llc | |
|
120 Mlk Sr Heritage Trl Ste 110 Stockbridge GA 30281-3411 | |
| (770) 990-2453 | |
| (706) 553-8306 |
| Full Name | I.m. Wellness Center, Llc |
|---|---|
| Speciality | Clinic/center - Adult Mental Health |
| Location | 120 Mlk Sr Heritage Trl Ste 110, Stockbridge, Georgia |
| Authorized Official Name and Position | Cindy Hardy (CEO) |
| Authorized Official Contact | 7709902453 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| I.m. Wellness Center, Llc 1057 Redhead Ct Stockbridge GA 30281-4473 Ph: (770) 990-2453 | I.m. Wellness Center, Llc 120 Mlk Sr Heritage Trl Ste 110 Stockbridge GA 30281-3411 Ph: (770) 990-2453 |
| NPI Number | 1659869626 |
|---|---|
| Provider Enumeration Date | 04/25/2018 |
| Last Update Date | 12/08/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659869626 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | LPC009820 (Georgia) | Primary |
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