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NPI 1043771926

NPI 1043771926 : HEAL ATL COUNSELING & WELLNESS : ATLANTA, GA

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General NPI Number Information
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    NPI Number           |    1043771926
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    Entity Type          |    Organization 
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    Legal Business Name  |    HEAL ATL COUNSELING & WELLNESS 
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Dates
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    Enumeration Date     |    03/25/2019
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    Last Update Date     |    01/31/2025
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Provider Practice Location Address
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    Address Line         |    1117 PERIMETER CTR STE N102 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30338-5443
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    Country              |    US
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    Telephone            |    833-432-5285
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1117 PERIMETER CTR STE N102 
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    City                 |    ATLANTA
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    State                |    GA
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    Zip                  |    30338-5443
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    Country              |    US
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    Telephone            |    833-432-5285
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     BRITTANY  HEWITT 
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    Credential           |    MA, NCC, LPC
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    Telephone            |    833-432-5285
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QM0850X
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    Taxonomy Name        |    Adult Mental Health Clinic/Center
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    License Number       |    
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    License Number State |    
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