Healthcare Provider Details

I. General information

NPI: 1457160202
Provider Name (Legal Business Name): SEFIRO HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/06/2025
Last Update Date: 06/02/2025
Certification Date: 06/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1841 MARIETTA BLVD NW STE M
ATLANTA GA
30318-2849
US

IV. Provider business mailing address

1841 MARIETTA BLVD NW STE M
ATLANTA GA
30318-2849
US

V. Phone/Fax

Practice location:
  • Phone: 404-907-0734
  • Fax:
Mailing address:
  • Phone: 404-907-0734
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code171400000X
TaxonomyHealth & Wellness Coach
License Number
License Number StateNULL
# 3
Primary TaxonomyN
Taxonomy Code405300000X
TaxonomyPrevention Professional
License Number
License Number StateNULL

VIII. Authorized Official

Name: HANNAH A COLLIER
Title or Position: CEO/FOUNDER
Credential: NBC-HWC
Phone: 404-907-0734