| Sankofa Wellness Group | |
|
2001 Martin Luther King Jr Dr Sw Ste 201 Atlanta GA 30310-1101 | |
| (404) 476-5498 | |
| Not Available |
| Full Name | Sankofa Wellness Group |
|---|---|
| Speciality | Counselor - Professional |
| Location | 2001 Martin Luther King Jr Dr Sw Ste 201, Atlanta, Georgia |
| Authorized Official Name and Position | Desirea Russell (CEO) |
| Authorized Official Contact | 6787098002 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sankofa Wellness Group 2290 Lake Royale Dr Riverdale GA 30296-1896 Ph: (678) 709-8002 | Sankofa Wellness Group 2001 Martin Luther King Jr Dr Sw Ste 201 Atlanta GA 30310-1101 Ph: (404) 476-5498 |
| NPI Number | 1750805875 |
|---|---|
| Provider Enumeration Date | 07/31/2017 |
| Last Update Date | 07/21/2022 |
| Certification Date | 02/08/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750805875 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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