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DALLAS IVY THERAPY AND WELLNESS SERVICES NPI 1477320885


NPI Information

NPI: 1477320885
Provider Name: DALLAS IVY THERAPY AND WELLNESS SERVICES
Classification: Counselor - 101YP2500X
Entity Type: Organization

Specialization: Professional

Address:
298 NORTHWIND DR
STOCKBRIDGE, GA
ZIP 30281
Phone: (404) 934-8428
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DALLAS IVY THERAPY AND WELLNESS SERVICES is a professional counselor in Stockbridge, GA. DALLAS IVY THERAPY AND WELLNESS SERVICES NPI is 1477320885. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

298 NORTHWIND DR
STOCKBRIDGE, GA
ZIP 30281-216
Phone: (404) 934-8428

The provider's authorized official is Lawanda Owens .
The authorized official title is Owner and has the following contact phone number (404) 934-8428.

The enumeration date for this NPI number is 12/6/2023 and was last updated on 12/6/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YP2500XCounselorProfessionalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024
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