Organization
GENESIS ALLIANCE FOR MENTAL WELLNESS, LLC
Active
Organization
GENESIS ALLIANCE FOR MENTAL WELLNESS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TEMEKA ABBOTT (CEO)
(404) 501-0003
Entity
Organization
Contact information
Practice address
4540 MEMORIAL DR STE C, DECATUR, GA 30032-1455
(404) 501-0003
(404) 501-0033
Mailing address
4540 MEMORIAL DR STE C, DECATUR, GA 30032-1455
(404) 501-0003
(404) 501-0033
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
042312259A
—
GA
Enumeration date
04/03/2007
Last updated
07/11/2025
Update your record
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