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Shallowford Wellness Center Llc
Community/Behavioral Health Agency in Atlanta, Georgia
NPI 1235917469

Shallowford Wellness Center Llc is a Community/Behavioral Health Agency based in Atlanta, GA. Shallowford Wellness Center Llc practices in Atlanta, GA. The NPI Number for Shallowford Wellness Center Llc is 1235917469 and holds a License No. (Georgia).

The current practice location address for Shallowford Wellness Center Llc is 3300 Northeast Expy Ne, Atlanta, GA and can be reached out via phone at 404-435-6604.

Location: 3300 Northeast Expy Ne, Atlanta, GA, 30345-7601
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1235917469
Provider Name
Shallowford Wellness Center Llc
Credential
Provider Entity Type
Organization
Address
3300 Northeast Expy Ne, Atlanta, GA, 30345-7601
Phone Number
404-435-6604
Fax Number
Provider Enumeration Date
09/19/2023
Last Update Date
04/14/2024
institution
Provider Business Practice Location Address Details
Address
3300 Northeast Expy Ne
City
Atlanta
State
Georgia
Zip
30341-3932
Phone Number
404-435-6604
Fax Number
person
Provider Business Mailing Address Details
Address
3300 Northeast Expy Ne
City
Atlanta
State
Georgia
Zip
30341-3932
Phone Number
404-435-6604
Fax Number
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Psychiatry & Neurology
Speciality
Neurodevelopmental Disabilities
Taxonomy
2084P0005X
License No.
()
Definition
A pediatrician or neurologist who specializes in the diagnosis and management of chronic conditions that affect the developing and mature nervous system such as cerebral palsy, mental retardation and chronic behavioral syndromes, or neurologic conditions.
person
Provider's Taxonomy Details 2
Type
Agencies
Classification
Community/Behavioral Health
Speciality
-
Taxonomy
251S00000X
License No.
()
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
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