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Organization
HEALING OUR VILLAGE OF MARYLAND, INC.
Active
Organization
HEALING OUR VILLAGE OF MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENORE COLEMAN PHARMD (PRESIDENT)
(703) 795-1983
Entity
Organization
Contact information
Practice address
177 N MAIN ST, JONESBORO, GA 30236-3567
(800) 788-0941
Mailing address
405 BENJAMIN CIR, FAYETTEVILLE, GA 30214-3346
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
NULL
103TH0100X
Health Service Psychologist
—
—
251E00000X
Home Health Agency
—
NULL
251S00000X
Community/Behavioral Health Agency
—
NULL
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
NULL
261QP1100X
Podiatric Clinic/Center
—
NULL
Other
Enumeration date
06/10/2014
Last updated
06/09/2025
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