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General NPI Number Information
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NPI Number | 1497636872
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Entity Type | Organization
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Legal Business Name | MICHELLE AT THE HEALING CENTER ATLANTA
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Dates
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Enumeration Date | 09/10/2025
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Last Update Date | 09/10/2025
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Provider Practice Location Address
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Address Line | 1035 SOUTHCREST DR STE 115
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City | STOCKBRIDGE
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State | GA
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Zip | 30281-6104
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Country | US
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Telephone | 708-955-5952
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Fax |
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Provider Business Mailing Address
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Address Line | 2690 COBB PKWY SE UNIT 246
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City | SMYRNA
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State | GA
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Zip | 30080-3001
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SHERRIE M BERRY
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Credential |
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Telephone | 708-955-5952
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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