Integrated Wellness Outreach, Llc

NPI 1104194687 - Counselor - 101YP2500X

NPI Details
NPI 1104194687
Enumeration Date 12/12/2011
Last Updated 12/12/2011
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RASHIDA RASHIDA
Position THERAPIST
Phone (678) 400-2053
Fax
Practice Location
544 MEDLOCK RD
SUITE 106
DECATUR GA, 30030-1515, US
Phone (678) 400-2053
Fax
Business Location
544 MEDLOCK RD
SUITE 106
DECATUR GA, 30030-1515, US
Phone (678) 400-2053
Fax
Toxanomy
Taxonomy Code 101YP2500X
License State Georgia
License Number LPC006469
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According to our database, Integrated Wellness Outreach, Llc NPI is 1104194687, taxonomy code is 101YP2500X and license number is LPC006469, license state is located at Georgia. Integrated Wellness Outreach, Llc physically located at 544 Medlock Rd, Decatur GA, 30030-1515. NPI Number 1033115704 has the healthcare provider type.

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1104194687 NPI number is provided on an as is basis without warranty of any kind. 1104194687 is maintained by the National Plan & Provider Enumeration System. The contents of Integrated Wellness Outreach, Llc are for informational purposes only.