| Zion Healing Center Of Georgia Llc | |
|
1899 Powers Ferry Rd Se Ste 375 Atlanta GA 30339-8445 | |
| (678) 978-4582 | |
| Not Available |
| Full Name | Zion Healing Center Of Georgia Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 1899 Powers Ferry Rd Se Ste 375, Atlanta, Georgia |
| Authorized Official Name and Position | Armin Rohani (OWNER) |
| Authorized Official Contact | 6789784582 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Zion Healing Center Of Georgia Llc 1899 Powers Ferry Rd Se Ste 375 Atlanta GA 30339-8445 Ph: () - | Zion Healing Center Of Georgia Llc 1899 Powers Ferry Rd Se Ste 375 Atlanta GA 30339-8445 Ph: (678) 978-4582 |
| NPI Number | 1659052405 |
|---|---|
| Provider Enumeration Date | 07/25/2023 |
| Last Update Date | 07/25/2023 |
| Certification Date | 07/18/2023 |
| Medicare PECOS PAC ID | 8224470786 |
|---|---|
| Medicare Enrollment ID | O20240529002894 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659052405 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
| Provider Name | John Gabriel Smith |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1609396035 PECOS PAC ID: 0446526446 Enrollment ID: I20220728001519 |
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