Organization
NOVU WELLNESS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN HEILIG (CEO)
(704) 305-1430
Entity
Organization
Contact information
Practice address
4536 NELSON BROGDON BLVD, BUILDING E STE 2, SUGAR HILL, GA 30518
(704) 305-1430
Mailing address
4536 NELSON BROGDON BLVD, BUILDING E STE 2, SUGAR HILL, GA 30518
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
Primary
—
—
261QM0855X
Adolescent and Children Mental Health Clinic/Center
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
70170
DR. BRYON MCQUIRT
GA
Enumeration date
07/31/2023
Last updated
07/31/2023
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