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Quintessence Innovations LLC

Social Worker, Clinical in Smyrna, GA. Organization (NPI-2).

NPI number1457802001
StatusActive
Last updated in NPPESNov 30, 2021

Details

NPI
1457802001
Entity type
Organization (NPI-2)
Legal business name
Quintessence Innovations LLC
Organization subpart
No
Enumeration date
Oct 19, 2016
Certification date
Nov 12, 2021
Last updated
Nov 30, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
1041C0700X Social Worker, Clinical––Yes

Practice location

4480 S Cobb Dr Se Ste H184
Smyrna, GA 30080-6990

Phone 770-694-9142

Mailing address

4480 S Cobb Dr Se Ste H
Smyrna, GA 30080-6964

Phone 770-694-9142

Authorized official

Michelle L Thomas Rhue
Lcsw
7706949142

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