Organization
STARTKINETIK, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY LISA HUBER MD (OWNER)
(404) 348-8315
Entity
Organization
Contact information
Practice address
3520 PIEDMONT RD NE STE 350, ATLANTA, GA 30305-1582
(404) 348-8315
Mailing address
3520 PIEDMONT RD NE STE 350, ATLANTA, GA 30305-1582
(404) 348-8315
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
171400000X
Health & Wellness Coach
—
—
2084P0800X
Psychiatry Physician
—
—
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
08/15/2025
Last updated
08/15/2025
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