Organization
CONTEMPORARY HEALING SPACES, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DOMINIQUE SIMONE MARCUS LCSW (OWNER)
(912) 430-7880
Entity
Organization
Contact information
Practice address
691 JOHN WESLEY DOBBS AVE NE STE V146, ATLANTA, GA 30312-1690
(347) 639-8380
Mailing address
691 JOHN WESLEY DOBBS AVE NE STE V146, ATLANTA, GA 30312-1690
(912) 430-7880
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Enumeration date
11/09/2021
Last updated
05/19/2025
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