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Organization

KULA WELLNESS INC

Active
Other names
Kula Wellness Group
Organization subpart
No

Provider details

NPI number
Authorized official
MS. AMBER AMICK LPC, NCC (OWNER/PRESIDENT)
(678) 522-5232
Entity
Organization

Contact information

Practice address
1244 CLAIRMONT RD STE 102, DECATUR, GA 30030-1250
(678) 522-5232
Mailing address
4860 BUSH RD, PEACHTREE CORNERS, GA 30096-2912
(678) 522-5232

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
261QM0850X
Adult Mental Health Clinic/Center
261QM0855X
Adolescent and Children Mental Health Clinic/Center

Other

Enumeration date
05/09/2022
Last updated
05/09/2022
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