# UNIVERSAL WELLNESS LLC

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

## Provider details

- **NPI number:** 1427648765
- **Authorized official:** ABDUL SHABAZZ (OWNER)
- **Authorized official phone:** (843) 302-2419

## Contact information

- **Practice address:** 1824 OLD DOGWOOD, JONESBORO, GA 30238-7515
- **Practice address phone:** (843) 302-2419
- **Mailing address:** 1824 OLD DOGWOOD, JONESBORO, GA 30238-7515
- **Mailing address phone:** (843) 302-2419

## Taxonomy

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

## Other

- **Enumeration date:** 01/20/2021
- **Last updated:** 01/20/2021