Organization
SPROUT TO BLOOM WELLNESS INCORPORATED
Active
Other names
Sprout to Bloom Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JOAN MICHELLE COLES MS LPC (PARTNER)
(678) 310-5044
Entity
Organization
Contact information
Practice address
1007 MANSELL RD # A195, ROSWELL, GA 30076-5019
(678) 310-5044
Mailing address
1007 MANSELL RD # A195, ROSWELL, GA 30076-5019
(678) 310-5044
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/18/2024
Last updated
07/18/2024
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