Shades Of Gray Wellness Center

LBN: Shades Of Gray Wellness Center
Shades Of Gray Wellness Center is an health care organization with primary practice located at 2330 Scenic Hwy S Suite 115, Snellville GA 30078-3115. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as the primary health care specialty. Shades Of Gray Wellness Center can be contacted via phone (770) 559-9919, or through Gray, Geneva via phone (770) 559-9919.

Contact Information

Primary practice address
2330 Scenic Hwy S Suite 115 Snellville GA 30078-3115
Phone: (770) 559-9919
Fax: (404) 891-5095
Website:
Map and Directions
Authorized official contact:
Name: Gray, Geneva PHD
Phone: (770) 559-9919

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC004236 Georgia

Profile Details

NPI number 1235487919
LBN Legal business name Shades Of Gray Wellness Center
DBA Doing business as
Authorized official Gray, Geneva PHD
Entity Organization
Organization subpart 1 No
Enumeration date Aug 28th, 2012
Last updated Aug 28th, 2012 - about 14 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235487919 NPPES
Georgia MEDICAID 922721756B

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