| Sofa Space Llc | |
|
2101 Ridgebrook Way Ne # 2101 Atlanta GA 30345-8022 | |
| (678) 778-6333 | |
| Not Available |
| Full Name | Sofa Space Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 2101 Ridgebrook Way Ne # 2101, Atlanta, Georgia |
| Authorized Official Name and Position | Roanna Queena Stroman (CEO) |
| Authorized Official Contact | 6787786333 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sofa Space Llc Po Box 942325 Atlanta GA 31141-2325 Ph: (678) 778-6333 | Sofa Space Llc 2101 Ridgebrook Way Ne # 2101 Atlanta GA 30345-8022 Ph: (678) 778-6333 |
| NPI Number | 1326780958 |
|---|---|
| Provider Enumeration Date | 04/13/2022 |
| Last Update Date | 04/13/2022 |
| Certification Date | 04/13/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326780958 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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