| Georgia Center For Mental Wellness, Llc | |
|
3050 Atlanta Rd Se Smyrna GA 30080-8255 | |
| (678) 438-9084 | |
| (770) 825-9120 |
| Full Name | Georgia Center For Mental Wellness, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3050 Atlanta Rd Se, Smyrna, Georgia |
| Authorized Official Name and Position | Kara Beckett Coleman (CEO) |
| Authorized Official Contact | 6784389084 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Georgia Center For Mental Wellness, Llc 563 Ivey Way Se Mableton GA 30126-4563 Ph: (678) 438-9084 | Georgia Center For Mental Wellness, Llc 3050 Atlanta Rd Se Smyrna GA 30080-8255 Ph: (678) 438-9084 |
| NPI Number | 1629492053 |
|---|---|
| Provider Enumeration Date | 02/05/2014 |
| Last Update Date | 02/05/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629492053 | NPI | - | NPPES |
| 003122272B | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | CSW004377 (Georgia) | Primary |
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