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Organization
SACRED HEALING WELLNESS CENTER LLC
Active
Organization
SACRED HEALING WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA NADINE ALLEN FNP (OWNER)
(678) 665-2046
Entity
Organization
Contact information
Practice address
4652 LAWRENCEVILLE HWY NW STE 101, LILBURN, GA 30047-3623
(678) 665-2046
(470) 567-5644
Mailing address
3870 PEACHTREE INDUSTRIAL BLVD STE 340, DULUTH, GA 30096-1474
(678) 665-2046
(470) 567-5644
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Enumeration date
03/18/2024
Last updated
01/16/2025
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