| Integrated Wellness Outreach, Llc | |
|
544 Medlock Rd Suite 106 Decatur GA 30030-1515 | |
| (678) 400-2053 | |
| Not Available |
| Full Name | Integrated Wellness Outreach, Llc |
|---|---|
| Speciality | Counselor - Professional |
| Location | 544 Medlock Rd, Decatur, Georgia |
| Authorized Official Name and Position | Rashida Thomas (THERAPIST) |
| Authorized Official Contact | 6784002053 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Wellness Outreach, Llc 544 Medlock Rd Suite 106 Decatur GA 30030-1515 Ph: (678) 400-2053 | Integrated Wellness Outreach, Llc 544 Medlock Rd Suite 106 Decatur GA 30030-1515 Ph: (678) 400-2053 |
| NPI Number | 1104194687 |
|---|---|
| Provider Enumeration Date | 12/12/2011 |
| Last Update Date | 12/12/2011 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104194687 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LPC006469 (Georgia) | Primary |
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