Organization
THIS IS HEALING, LLLP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TISA STANLEY (CREDENTIALING SPECIALIST)
(770) 284-1787
Entity
Organization
Contact information
Practice address
3604 CHAMBLEE TUCKER RD, CHAMBLEE, GA 30341-4418
(740) 561-3041
Mailing address
3604 CHAMBLEE TUCKER RD, CHAMBLEE, GA 30341-4418
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
Other
Enumeration date
12/16/2019
Last updated
12/16/2019
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