Organization
HEALTHY COLLABORATIONS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY BARNES HAMMOCK NP (CO-OWNER)
(770) 590-0408
Entity
Organization
Contact information
Practice address
3911 MARY ELIZA TRCE NW, MARIETTA, GA 30064-1086
(678) 384-3480
(678) 384-3481
Mailing address
3911 MARY ELIZA TRCE NW, MARIETTA, GA 30064-1086
(678) 384-3480
(678) 384-3481
Taxonomy
Speciality
Code
Description
License number
State
103K00000X
Behavior Analyst
—
—
106S00000X
Behavior Technician
—
—
2251P0200X
Pediatric Physical Therapist
—
—
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
235Z00000X
Speech-Language Pathologist
—
—
Other
Enumeration date
09/24/2018
Last updated
09/24/2018
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