Onethree Wellness Collective LLC
Counselor, Professional in Decatur, GA. Organization (NPI-2).
NPI number1245083179
StatusActive
Last updated in NPPESApr 10, 2024
Details
- NPI
- 1245083179
- Entity type
- Organization (NPI-2)
- Legal business name
- Onethree Wellness Collective LLC
- Organization subpart
- No
- Enumeration date
- Apr 10, 2024
- Certification date
- Apr 10, 2024
- Last updated
- Apr 10, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YP2500X | Counselor, Professional | – | – | Yes |
| 101YM0800X | Counselor, Mental Health | – | – | |
| 261QM0801X | Clinic/Center, Mental Health (Including Community Mental Health Center) | – | – |
Practice location
235 E Ponce De Leon Ave Ste 120Decatur, GA 30030-3412
Phone 770-835-5103
Mailing address
3176 Warrenton CtDouglasville, GA 30135-1395
Phone 770-835-5103
Authorized official
Sierra Hillsman
Ceo
7708355103
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