Power Forward Therapy & Wellness, LLC.
Clinic/Center, Mental Health (Including Community Mental Health Center) in Snellville, GA. Organization (NPI-2).
NPI number1124867643
StatusActive
Last updated in NPPESMay 6, 2026
Details
- NPI
- 1124867643
- Entity type
- Organization (NPI-2)
- Legal business name
- Power Forward Therapy & Wellness, LLC.
- Organization subpart
- No
- Enumeration date
- May 23, 2024
- Certification date
- May 6, 2026
- Last updated
- May 6, 2026
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – | Yes |
Practice location
2330 Scenic Hwy S Ste 565Snellville, GA 30078-3115
Phone 404-747-3411
Mailing address
2330 Scenic Hwy S Ste 565Snellville, GA 30078-3115
Phone 404-747-3411
Authorized official
Keshara Goode
Owner
4047473411
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All 8 Mental Health Clinic/Center (Including Community Mental Health Center) providers in Snellville · All 2,401 providers in Snellville
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