Healthcare Provider Details

I. General information

NPI: 1114683851
Provider Name (Legal Business Name): CURATIVE MINDSET COACHING HEALING & HUMAN SERVICE CONSULTANCY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/16/2021
Last Update Date: 11/16/2021
Certification Date: 11/16/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

745 MULLINAX RD
ALPHARETTA GA
30004-7724
US

IV. Provider business mailing address

575 PHARR RD NE UNIT 12285
ATLANTA GA
30355-4031
US

V. Phone/Fax

Practice location:
  • Phone: 678-453-7700
  • Fax:
Mailing address:
  • Phone: 678-453-7700
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code103TB0200X
TaxonomyCognitive & Behavioral Psychologist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code103TC1900X
TaxonomyCounseling Psychologist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code261QM0855X
TaxonomyAdolescent and Children Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: PROF. SHARON LIZ REED
Title or Position: CLINICIAN
Credential: MD
Phone: 678-453-7700