# EMERALD COUNSELING AND WELLNESS, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** EMERALD COUNSELING AND WELLNESS, LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1700607850
- **Legal business name:** EMERALD COUNSELING AND WELLNESS, LLC
- **Authorized official:** REBECCA PENDRICK (ORGANIZER)
- **Authorized official phone:** (404) 490-0373

## Contact information

- **Practice address:** 1714 PARKHILL DR, DECATUR, GA 30032-4518
- **Practice address phone:** (770) 366-3700
- **Mailing address:** 1714 PARKHILL DR, DECATUR, GA 30032-4518
- **Mailing address phone:** (770) 366-3700

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |
| 261QM0855X | Adolescent and Children Mental Health Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 10/22/2024
- **Last updated:** 10/22/2024