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Organization

URBAN WELLNESS, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ERICA MICHELLE GRANT LCSW (OWNER)
(770) 285-7321
Entity
Organization

Contact information

Practice address
3070 N MAIN ST NW, KENNESAW, GA 30144-2756
(770) 285-7321
(770) 285-7619
Mailing address
3070 N MAIN ST NW, KENNESAW, GA 30144-2756
(770) 285-7321
(770) 285-7619

Taxonomy

Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary

Other

Enumeration date
08/12/2021
Last updated
08/12/2021
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