OrganizationActive
Activating Wellness Within, LLC
NPI 1568959591 · Adult Mental Health Clinic/Center · Decatur, GA
Provider details
- NPI number
- 1568959591
- Entity type
- Organization
- Primary specialty
- Adult Mental Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Kenika Holloway, Owner(404) 645-9292
- License
- 006307 (GA)
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
4153 Flat Shoals Pkwy Ste 324-A
Decatur, GA 30034-4106
Phone: (404) 645-9292
Approximate (ZIP-level) locationGet directions
Mailing address
4153 Flat Shoals Pkwy Ste 324-A
Decatur, GA 30034-4106
Registry dates
- Enumerated
- 2018-04-16
- Last updated
- 2018-04-16
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.