| Vital Integrative Solutions Llc | |
|
901 Custer Ave Se Atlanta GA 30316 | |
| (404) 939-2772 | |
| Not Available |
| Full Name | Vital Integrative Solutions Llc |
|---|---|
| Speciality | Nurse Practitioner - Psychiatric/mental Health |
| Location | 901 Custer Ave Se, Atlanta, Georgia |
| Authorized Official Name and Position | Tina Williams (CEO/OWNER/OPERATOR) |
| Authorized Official Contact | 3362538252 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Vital Integrative Solutions Llc 650 Ponce De Leon Ave Ne Ste 300 Atlanta GA 30308-1864 Ph: (404) 939-2772 | Vital Integrative Solutions Llc 901 Custer Ave Se Atlanta GA 30316 Ph: (404) 939-2772 |
| NPI Number | 1225719677 |
|---|---|
| Provider Enumeration Date | 07/28/2023 |
| Last Update Date | 07/28/2023 |
| Certification Date | 07/17/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225719677 | NPI | - | NPPES |
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