Organization
HEALING AND RENEWAL WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KATELYNN VILLARI LCSW (CLINICAL DIRECTOR)
(678) 471-8090
Entity
Organization
Contact information
Practice address
464 CHEROKEE AVE SE STE 202, ATLANTA, GA 30312-3260
(678) 379-7019
Mailing address
138 TYE ST SE APT 1, ATLANTA, GA 30316-1155
(678) 471-8090
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
02/29/2020
Last updated
02/29/2020
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