Organization
FITLIFE WELLNESS, LLC
Active
Other names
Fit While Brown, LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MONIEK RICHARDSON LCSW (OWNER)
(404) 308-6044
Entity
Organization
Contact information
Practice address
2751 BUFORD HWY NE STE 410, ATLANTA, GA 30324-5457
(404) 308-6044
Mailing address
2751 BUFORD HWY NE STE 410, ATLANTA, GA 30324-5457
(404) 308-6044
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
CSW005281
GA
Other
Enumeration date
02/18/2017
Last updated
02/18/2017
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