# HEALING AND RENEWAL WELLNESS

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215561139
- **Authorized official:** KATELYNN VILLARI LCSW (CLINICAL DIRECTOR)
- **Authorized official phone:** (678) 471-8090

## Contact information

- **Practice address:** 464 CHEROKEE AVE SE STE 202, ATLANTA, GA 30312-3260
- **Practice address phone:** (678) 379-7019
- **Mailing address:** 138 TYE ST SE APT 1, ATLANTA, GA 30316-1155
- **Mailing address phone:** (678) 471-8090

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 02/29/2020
- **Last updated:** 02/29/2020