| Modern Wellness Collective | |
|
5030 Riverthur Pl Peachtree Corners GA 30096-2930 | |
| (470) 576-4129 | |
| Not Available |
| Full Name | Modern Wellness Collective |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 5030 Riverthur Pl, Peachtree Corners, Georgia |
| Authorized Official Name and Position | Jamia Poole (LICENSE CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4705764129 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Modern Wellness Collective 5030 Riverthur Pl Peachtree Corners GA 30096-2930 Ph: (470) 576-4129 | Modern Wellness Collective 5030 Riverthur Pl Peachtree Corners GA 30096-2930 Ph: (470) 576-4129 |
| NPI Number | 1952115834 |
|---|---|
| Provider Enumeration Date | 02/03/2025 |
| Last Update Date | 02/03/2025 |
| Certification Date | 02/03/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952115834 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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