Healthcare Provider Details

I. General information

NPI: 1265902274
Provider Name (Legal Business Name): INVESTING NOW FOR OUR CHILDREN'S ULTIMATE SUCCESS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/03/2018
Last Update Date: 12/03/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

650 HAMILTON AVE SE STE E
ATLANTA GA
30312-3778
US

IV. Provider business mailing address

4905 TREELODGE PKWY
DUNWOODY GA
30350-6048
US

V. Phone/Fax

Practice location:
  • Phone: 404-965-6069
  • Fax:
Mailing address:
  • Phone: 336-837-9777
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225A00000X
TaxonomyMusic Therapist
License Number
License Number State

VIII. Authorized Official

Name: MISS LASHANDA N COSBY
Title or Position: OWNER
Credential:
Phone: 336-837-9777