Organization
A HEALING PARADIGM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TAIWANA HAWKINS (DIRECTOR OF BILLING)
(404) 671-9213
Entity
Organization
Contact information
Practice address
950 DANNON VW SW, SUITE 4201, ATLANTA, GA 30331-2160
(404) 635-6021
(404) 601-7347
Mailing address
950 DANNON VW SW, SUITE 4201, ATLANTA, GA 30331-2160
(404) 635-6021
(404) 601-7347
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
PSY003437
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
708181433A
—
GA
Enumeration date
02/16/2011
Last updated
02/16/2011
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