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
Primary
—
—
103TC2200X
Clinical Child & Adolescent Psychologist
—
—
103TP2701X
Group Psychotherapy Psychologist
—
—
Other
Enumeration date
04/15/2026
Last updated
04/15/2026
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