Organization
CENTERED WELLNESS LLC
Active
Other names
Centered Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTA SMITH (CEO)
(770) 410-4894
Entity
Organization
Contact information
Practice address
1250 UPPER HEMBREE RD STE F, ROSWELL, GA 30076-4651
(770) 410-4894
Mailing address
1250 UPPER HEMBREE RD STE F, ROSWELL, GA 30076-4651
(770) 410-4894
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
—
261QH0100X
Health Service Clinic/Center
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
10/18/2021
Last updated
10/18/2021
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