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Organization

HOPE FOR SHATTERED HEART LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. PATRICIA JACKSON WHALEN (OWNER)
(470) 270-9268
Entity
Organization

Contact information

Practice address
708 OSBORNE ST STE 104, SAINT MARYS, GA 31558-8497
(470) 270-9268
(915) 576-5315
Mailing address
708 OSBORNE ST STE 104, SAINT MARYS, GA 31558-8497
(470) 270-9268
(770) 334-2493

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary

Other

Enumeration date
12/30/2020
Last updated
10/27/2025
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