Organization
JUST BREATHE WELLNESS AND HEALING CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANA MANJARRES PMHNP-BC (OWNER)
(305) 281-0789
Entity
Organization
Contact information
Practice address
1050 SHILOH RD NW STE 310, KENNESAW, GA 30144-8100
(470) 523-9422
(470) 523-9432
Mailing address
1050 SHILOH RD NW STE 310, KENNESAW, GA 30144-8100
(470) 523-9422
(470) 523-9432
Taxonomy
Speciality
Code
Description
License number
State
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Enumeration date
03/27/2023
Last updated
12/09/2023
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