| Lightning Bug Wellness, Llc | |
|
209a Swanton Way # 202 Decatur GA 30030-3271 | |
| (614) 804-0121 | |
| Not Available |
| Full Name | Lightning Bug Wellness, Llc |
|---|---|
| Speciality | Clinic/center - Mental Health (including Community Mental Health Center) |
| Location | 209a Swanton Way # 202, Decatur, Georgia |
| Authorized Official Name and Position | Elizabeth Marks (OWNER) |
| Authorized Official Contact | 6148040121 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lightning Bug Wellness, Llc 3904 N Druid Hills Rd # 228 Decatur GA 30033-3105 Ph: (614) 804-0121 | Lightning Bug Wellness, Llc 209a Swanton Way # 202 Decatur GA 30030-3271 Ph: (614) 804-0121 |
| NPI Number | 1225778145 |
|---|---|
| Provider Enumeration Date | 03/30/2022 |
| Last Update Date | 03/30/2022 |
| Certification Date | 03/30/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225778145 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | (* (Not Available)) | Primary |
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