MEDICARE: HUMANICURITY INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101Y00000X	Counselor

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	527541	OTHER		COUNSELING

General Provider Information

NPI Number	:	1083240782
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HUMANICURITY INC.

Provider Business Mailing Address
First Line	:	2385 GODBY RD UNIT 490063
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-5067
Country	:	US
Telephone Number	:	559-908-5032
Fax Number	:

Provider Business Practice Location Address
First Line	:	1048 FLAT SHOALS RD APT 303
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30349-7336
Country	:	US
Telephone Number	:	559-908-5032
Fax Number	:

Authorized Official
Title or Position	:	COUNSELOR/LIFE COACH
Name	:	JAZMONE WALKER
Credential	:
Telephone Number	:	559-908-5032

Provider Enumeration Date	:	03/14/2020
Last Update Date	:	03/14/2020

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Directions to “HUMANICURITY INC. ” Practice Location

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