Organization
KAIROVA WELLNESS CENTER LLC
Active
Organization
KAIROVA WELLNESS CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHANEQUA PIERCE (OWNER)
(470) 202-0438
Entity
Organization
Contact information
Practice address
650 MOUNT ZION RD STE A, JONESBORO, GA 30236-1560
(470) 202-0415
Mailing address
650 MOUNT ZION RD STE A, JONESBORO, GA 30236-1560
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
174200000X
Meals Provider
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251S00000X
Community/Behavioral Health Agency
Primary
—
—
253J00000X
Foster Care Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261Q00000X
Clinic/Center
—
—
261QC1500X
Community Health Clinic/Center
—
—
261QP2400X
Prison Health Clinic/Center
—
—
261QR0400X
Rehabilitation Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
04/15/2026
Last updated
08/20/2026
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