Healthcare Provider Details
I. General information
NPI: 1356133433
Provider Name (Legal Business Name): IN MY GARDEN HEALTH AND LIFESTYLE CONSULTING
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/22/2025
Last Update Date: 05/29/2025
Certification Date: 05/29/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2330 SCENIC HWY S STE 315
SNELLVILLE GA
30078-3115
US
IV. Provider business mailing address
2330 SCENIC HWY S STE 315
SNELLVILLE GA
30078-3115
US
V. Phone/Fax
- Phone: 678-203-9558
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261Q00000X |
| Taxonomy | Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QH0100X |
| Taxonomy | Health Service Clinic/Center |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 363L00000X |
| Taxonomy | Nurse Practitioner |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
AMELIA
R
NARAIN
Title or Position: CEO
Credential: NP
Phone: 404-964-2805