MEDICARE: HEALING SCARED SCARS HOLISTIC WELLNESS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1477247997
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING SCARED SCARS HOLISTIC WELLNESS

Provider Business Mailing Address
First Line	:	504 FAIR ST SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30313-1206
Country	:	US
Telephone Number	:	470-326-0588
Fax Number	:

Provider Business Practice Location Address
First Line	:	504 FAIR ST SW
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30313-1206
Country	:	US
Telephone Number	:	470-326-0588
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	LACRESHA CUNNINGHAM
Credential	:	LCSW
Telephone Number	:	470-326-0588

Provider Enumeration Date	:	06/07/2023
Last Update Date	:	08/28/2025

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Directions to “HEALING SCARED SCARS HOLISTIC WELLNESS ” Practice Location

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