| Play 21 Wellness Academy Llc | |
|
3580 Breckinridge Blvd Ste 104 Duluth GA 30096-5256 | |
| (770) 680-5642 | |
| Not Available |
| Full Name | Play 21 Wellness Academy Llc |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 3580 Breckinridge Blvd Ste 104, Duluth, Georgia |
| Authorized Official Name and Position | Kurt Jones (CEO) |
| Authorized Official Contact | 7033475887 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Play 21 Wellness Academy Llc 3580 Breckinridge Blvd Ste 104 Duluth GA 30096-5256 Ph: (770) 680-5642 | Play 21 Wellness Academy Llc 3580 Breckinridge Blvd Ste 104 Duluth GA 30096-5256 Ph: (770) 680-5642 |
| NPI Number | 1215821996 |
|---|---|
| Provider Enumeration Date | 06/05/2025 |
| Last Update Date | 06/05/2025 |
| Certification Date | 06/05/2025 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215821996 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
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