Organization
I.M. WELLNESS CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CINDY HARDY LPC, MAC, ICADC-II (CEO)
(770) 990-2453
Entity
Organization
Contact information
Practice address
120 MLK SR HERITAGE TRL STE 110, STOCKBRIDGE, GA 30281-3411
(770) 990-2453
(706) 553-8306
Mailing address
1057 REDHEAD CT, STOCKBRIDGE, GA 30281-4473
(770) 990-2453
Taxonomy
Speciality
Code
Description
License number
State
261QM0850X
Adult Mental Health Clinic/Center
Primary
LPC009820
GA
Other
Enumeration date
04/25/2018
Last updated
12/08/2018
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