Provider Demographics
NPI:1164033189
Name:ATONEMENT WELLNESS CENTER LLC
Entity Type:Organization
Organization Name:ATONEMENT WELLNESS CENTER LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:
Authorized Official - Last Name:ARRENDELL
Authorized Official - Suffix:
Authorized Official - Credentials:MS
Authorized Official - Phone:305-956-5151
Mailing Address - Street 1:1835 NE MIAMI GARDENS DR # 212
Mailing Address - Street 2:
Mailing Address - City:NORTH MIAMI BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33179-5035
Mailing Address - Country:US
Mailing Address - Phone:305-956-5151
Mailing Address - Fax:305-956-5150
Practice Address - Street 1:1810 NE 153RD ST STE 3
Practice Address - Street 2:
Practice Address - City:NORTH MIAMI BEACH
Practice Address - State:FL
Practice Address - Zip Code:33162-6004
Practice Address - Country:US
Practice Address - Phone:305-956-5151
Practice Address - Fax:305-956-5150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-13
Last Update Date:2020-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)