Her Village Founadation LLC
NPI #1285287086 in Douglasville, Georgia
Provider Information
- NPI Number
- 1285287086
- Entity Type
- Organization
- Organization Name
- Her Village Founadation LLC
- Primary Specialty
- Clinic/Center - Mental Health (Including Community Mental Health Center)
- Enumeration Date
- Jul 20, 2019
- Last Updated
- Jul 20, 2019
Practice Location
- Address
- 8341 GRADY ST
- City
- Douglasville
- State
- Georgia
- ZIP Code
- 30134-6910
- Phone
- (718) 570-3446
Authorized Official
- Name
- SHANE JANELLE GILL, BA, MA
- Title
- OWNER
- Phone
- (718) 570-3446
Specialties & Taxonomy Codes
| Specialty |
|---|
| Clinic/Center - Mental Health (Including Community Mental Health Center) — Mental Health (Including Community Mental Health Center) |
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