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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