Organization
ACTIVATING WELLNESS WITHIN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KENIKA HOLLOWAY (OWNER)
(404) 645-9292
Entity
Organization
Contact information
Practice address
4153 FLAT SHOALS PKWY STE 324-A, DECATUR, GA 30034-4106
(404) 645-9292
Mailing address
4153 FLAT SHOALS PKWY STE 324-A, DECATUR, GA 30034-4106
(404) 645-9292
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
006307
GA
Other
Enumeration date
04/16/2018
Last updated
04/16/2018
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