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Organization
KULA WELLNESS INC
Active
Organization
KULA WELLNESS INC
Active
Other names
Kula Wellness Group
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMBER AMICK LPC, NCC (OWNER/PRESIDENT)
(678) 522-5232
Entity
Organization
Contact information
Practice address
1244 CLAIRMONT RD STE 102, DECATUR, GA 30030-1250
(678) 522-5232
Mailing address
4860 BUSH RD, PEACHTREE CORNERS, GA 30096-2912
(678) 522-5232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
Other
Enumeration date
05/09/2022
Last updated
05/09/2022
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