| Indigo Therapy And Wellness | |
|
1301 Shiloh Rd Nw Ste 710 Kennesaw GA 30144-7157 | |
| (404) 514-0089 | |
| Not Available |
| Full Name | Indigo Therapy And Wellness |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1301 Shiloh Rd Nw Ste 710, Kennesaw, Georgia |
| Authorized Official Name and Position | John Cole Wright (OFFICE MANAGER) |
| Authorized Official Contact | 4045140089 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Indigo Therapy And Wellness 1301 Shiloh Rd Nw Ste 710 Kennesaw GA 30144-7157 Ph: (404) 514-0089 | Indigo Therapy And Wellness 1301 Shiloh Rd Nw Ste 710 Kennesaw GA 30144-7157 Ph: (404) 514-0089 |
| NPI Number | 1790466795 |
|---|---|
| Provider Enumeration Date | 07/31/2023 |
| Last Update Date | 07/31/2023 |
| Certification Date | 07/31/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790466795 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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