# URBAN INDIGO INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Urban Indigo Foundation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811758048
- **Authorized official:** MS. NIKOLE GREEN (CHEIF EXECUTIVE OFFICER)
- **Authorized official phone:** (404) 353-0432

## Contact information

- **Practice address:** 4051 SPARTA BLVD, ATLANTA, GA 30349-7649
- **Practice address phone:** (404) 353-0432
- **Mailing address:** 4051 SPARTA BLVD, ATLANTA, GA 30349-7649
- **Mailing address phone:** (404) 353-0432

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171400000X | Health & Wellness Coach | — | NULL | Yes |
| 171400000X | Health & Wellness Coach | — | — | Yes |
| 251V00000X | Voluntary or Charitable Agency | — | NULL | — |

## Other

- **Enumeration date:** 01/16/2024
- **Last updated:** 01/16/2024
