| Activating Harmony LLC | |
|
1802 Brackendale Rd Nw Kennesaw GA 30152-7746 | |
| (678) 304-8788 | |
| Not Available |
| Full Name | Activating Harmony LLC |
|---|---|
| Speciality | Social Worker |
| Location | 1802 Brackendale Rd Nw, Kennesaw, Georgia |
| Authorized Official Name and Position | Katie Noll (PRACTICE OWNER & CLINICIAN) |
| Authorized Official Contact | 6783048788 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Activating Harmony LLC 1802 Brackendale Rd Nw Kennesaw GA 30152-7746 Ph: (678) 304-8788 | Activating Harmony LLC 1802 Brackendale Rd Nw Kennesaw GA 30152-7746 Ph: (678) 304-8788 |
| NPI Number | 1588473805 |
|---|---|
| Provider Enumeration Date | 01/01/2025 |
| Last Update Date | 06/30/2026 |
| Certification Date | 06/30/2026 |
| Medicare PECOS PAC ID | 0749718344 |
|---|---|
| Medicare Enrollment ID | O20250109003968 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588473805 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | () | Primary |
| Provider Name | Katie Terry |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144806746 PECOS PAC ID: 5193194298 Enrollment ID: I20221213000394 |
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