Organization
SERENE REFLECTIONS FOR HOLISTIC BEHAVIOR WELLNESS, LLC
Active
Organization
SERENE REFLECTIONS FOR HOLISTIC BEHAVIOR WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHEILA HAWKINS (OWNER)
(404) 376-1994
Entity
Organization
Contact information
Practice address
777 CLEVELAND AVE SW, SUITE 204, ATLANTA, GA 30315-7129
(404) 892-2205
(404) 393-7611
Mailing address
777 CLEVELAND AVE SW, SUITE 204, ATLANTA, GA 30315-7129
(404) 892-2205
(404) 393-7611
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
202G701659
MEDICARE PTAN
GA
05
—
884719779B
—
GA
Enumeration date
07/15/2015
Last updated
07/15/2015
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