Organization
AHMANIQUE WHOLENESS & WELL-BEING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONIQUE HARRIS M.ED., LCSW (THERAPIST)
(770) 545-6443
Entity
Organization
Contact information
Practice address
803 BOMBAY LN STE C, ROSWELL, GA 30076-5819
(770) 545-6443
Mailing address
7922 APPLEMIST DR, FAIRBURN, GA 30213-7905
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW005388
GA
Other
Enumeration date
08/12/2016
Last updated
04/30/2019
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