Organization
FOSTERING RESILIENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAKERA KATHLEEN SNELLING FNP-C/PMHNP-BC (NURSE PRACTITIONER)
(205) 475-6868
Entity
Organization
Contact information
Practice address
3617 BRASELTON HWY STE 104, DACULA, GA 30019-4667
(205) 475-6868
Mailing address
4850 GOLDEN PKWY STE B443, BUFORD, GA 30518-5842
(205) 475-6868
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Enumeration date
04/06/2023
Last updated
01/24/2025
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