Organization
HEALING OUR VILLAGE OF MARYLAND, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LENORE COLEMAN PHARMD (PRESIDENT)
(703) 795-1983
Entity
Organization
Contact information
Practice address
177 N MAIN ST, JONESBORO, GA 30236-3567
(800) 788-0941
Mailing address
405 BENJAMIN CIR, FAYETTEVILLE, GA 30214-3346
Taxonomy
Speciality
Code
Description
License number
State
103TH0100X
Health Service Psychologist
—
—
251E00000X
Home Health Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
261QM1300X
Multi-Specialty Clinic/Center
Primary
—
—
261QP1100X
Podiatric Clinic/Center
—
—
Other
Enumeration date
06/10/2014
Last updated
06/09/2025
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