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Organization

HEALING HEARTS

Active
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Organization

HEALING HEARTS

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GRATIANA WILSON TAYLOR LPC (OWNER)
(678) 209-9420
Entity
Organization

Contact information

Practice address
110 EAGLE SPRINGS DR, SUITE C, STOCKBRIDGE, GA 30281-6488
(678) 209-9420
Mailing address
PO BOX 962671, RIVERDALE, GA 30296-6926
(678) 209-9420

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
LPC006127
GA

Other

Enumeration date
10/26/2010
Last updated
11/03/2010
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