Organization
HEALING HEARTS EXPRESSIVE ARTS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GABRIELLE RENE WATERS LPC (CEO)
(470) 269-0190
Entity
Organization
Contact information
Practice address
136 HIGHWAY 138 SW, SUITE 400, RIVERDALE, GA 30274-4008
(470) 269-0190
Mailing address
136 HIGHWAY 138 SW, SUITE 400, RIVERDALE, GA 30274-4008
(470) 269-0190
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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