| Center For Wellness: Community Counseling, Inc. | |
|
8333 Office Park Dr Suite A Douglasville GA 30134-6937 | |
| (770) 597-1147 | |
| (770) 693-8619 |
| Full Name | Center For Wellness: Community Counseling, Inc. |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 8333 Office Park Dr, Douglasville, Georgia |
| Authorized Official Name and Position | Carol Ann Wheeler (PRESIDENT) |
| Authorized Official Contact | 7705971147 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Wellness: Community Counseling, Inc. 4452 Kings Hwy Douglasville GA 30135-4604 Ph: (770) 597-1147 | Center For Wellness: Community Counseling, Inc. 8333 Office Park Dr Suite A Douglasville GA 30134-6937 Ph: (770) 597-1147 |
| NPI Number | 1538394820 |
|---|---|
| Provider Enumeration Date | 05/15/2009 |
| Last Update Date | 05/15/2009 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538394820 | NPI | - | NPPES |
| 000737679B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW002206 (Georgia) | Primary |
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