Organization
LIVINGWELL COLLABORATIVE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA SCRUGGS LPC (OWNER)
(404) 689-7100
Entity
Organization
Contact information
Practice address
2751 BUFORD HWY NE STE 410, ATLANTA, GA 30324-5457
(404) 689-7100
Mailing address
6875 PEACHTREE DUNWOODY RD APT 312, ATLANTA, GA 30328-5727
(404) 787-6146
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
03/03/2020
Last updated
04/17/2020
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