Organization
WELLNESS SOLUTION 360
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAMELA D FREEMAN FNP-C (FOUNDER, NURSE PRACTITIONER)
(470) 261-1010
Entity
Organization
Contact information
Practice address
2810 PEACHTREE INDUSTRIAL BLVD STE D, DULUTH, GA 30097-8142
(470) 785-0294
Mailing address
2810 PEACHTREE INDUSTRIAL BLVD STE D, DULUTH, GA 30097-8142
(470) 261-1010
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
251E00000X
Home Health Agency
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003213914A
—
GA
Enumeration date
11/14/2021
Last updated
11/13/2024
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