| Our Healing Space, LLC | |
|
165 Twin Hill Rd Austell GA 30168-7724 | |
| (678) 399-2070 | |
| (404) 537-6836 |
| Full Name | Our Healing Space, LLC |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 165 Twin Hill Rd, Austell, Georgia |
| Authorized Official Name and Position | Marius Haynes (ADMINISTRATOR) |
| Authorized Official Contact | 6783992070 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Our Healing Space, LLC 1445 Woodmont Ln Nw # 1576 Atlanta GA 30318-2866 Ph: (678) 399-2070 | Our Healing Space, LLC 165 Twin Hill Rd Austell GA 30168-7724 Ph: (678) 399-2070 |
| NPI Number | 1750206652 |
|---|---|
| Provider Enumeration Date | 08/11/2026 |
| Last Update Date | 08/18/2026 |
| Certification Date | 08/18/2026 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750206652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | () | Primary |
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