ROSEWOOD PSYCHOTHERAPY AND WELLNESS LLC NPI 1881190700

NPI Information

NPI: 1881190700
Provider Name: ROSEWOOD PSYCHOTHERAPY AND WELLNESS, LLC
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
108 E PONCE DE LEON AVE STE 204
DECATUR, GA
ZIP 30030
Phone: (404) 382-8788
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ROSEWOOD PSYCHOTHERAPY AND WELLNESS, LLC is a professional counselor in Decatur, GA. ROSEWOOD PSYCHOTHERAPY AND WELLNESS, LLC NPI is 1881190700. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

108 E PONCE DE LEON AVE STE 204
DECATUR, GA
ZIP 30030-512
Phone: (404) 382-8788

The provider's authorized official is Jacqueline Logan .
The authorized official title is Licensed Professional Counselor and has the following contact phone number (404) 382-8788.

The enumeration date for this NPI number is 3/30/2018 and was last updated on 3/30/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YP2500X	Counselor	Professional			Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			No

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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