ACTIVATING WELLNESS WITHIN LLC NPI 1568959591

NPI Information

NPI: 1568959591
Provider Name: ACTIVATING WELLNESS WITHIN, LLC
Classification: Clinic/Center - 261QM0850X
Entity Type: Organization

Specialization: Adult Mental Health

Address:
4153 FLAT SHOALS PKWY STE 324-A
DECATUR, GA
ZIP 30034
Phone: (404) 645-9292
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ACTIVATING WELLNESS WITHIN, LLC is an adult mental health clinic center in Decatur, GA. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in adults. ACTIVATING WELLNESS WITHIN, LLC NPI is 1568959591. The provider is registered as an organization entity type.

The provider's business location address is:

4153 FLAT SHOALS PKWY STE 324-A
DECATUR, GA
ZIP 30034-106
Phone: (404) 645-9292

The provider's authorized official is Kenika Holloway .
The authorized official title is Owner and has the following contact phone number (404) 645-9292.

The enumeration date for this NPI number is 4/16/2018 and was last updated on 4/16/2018.

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	261QM0850X	Clinic/Center	Adult Mental Health	006307	GEORGIA	Yes

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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